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Class Registration
"REEL" LIFE PERFORMING ARTS
6585-D US HWY 431
OWENS CROSS ROADS, AL 35763
www.reel-life-performing-arts.com
reellifetheater@gmail.com
Participant Information
First Name
Last Name
Gender
M
F
Birth Date
+
Grade
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Class Registering For:
*
Musical Theater Little Stars (Grades K-2)
Musical Theater Rising Stars (Grades 3-5)
Musical Theater Shooting Stars (Grades 6-8)
Musical Theater Shining Stars (Grades 9-12)
Musical Theater Super Stars (Ages 18 and Up)
Teen Hip Hop Dance (Ages 12-17)
Fee ($)
Adult Primary Contact
Relationship to Participant:
*
Self
Mother
Father
Guardian
Other
Other
First Name
*
Last Name
*
Address 1
*
Address 2
City
*
State
*
Zip
*
Phone
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*
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