Registration Form:
Student's  name:	* required
Email address:	* required
Telephone number:	* required
Class:
Select Your Choice:	Creative Preschool 1 Preschool 2 Kindergarten Level 1 Level 2 Level 3 Level 4 Boys Class 1 Boys Class 2 Musical Theatre 1 Musical Theatre 2 Hip Hop Youth Adult Ballet/Jazz Adult Tap Beg. Adult Tap Int. Adult Hip Hop
Birthdate & Grade:

Yellow Rose Dance * 8730 SW Terwilliger * Portland, Oregon 97219 Phone: 503-860-7043
letsdance@yellowrosedance.com

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