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Youth Dance Class Registration Form: Cash/Check Payment

Please fill-out all information with a red asterisk in order to complete your student registration for KYL/D's Youth Dance Classes.

If you have any questions, please contact Education Manager: Gracianna Coscia-Collins at classes@kyld.org

Parent/Guardian Information
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First Name
Last Name
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Student's Information
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First Name
Last Name

First Name
Last Name
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If you would like to register more than 2 students, please email our Education Manager: Gracianna Coscia-Collins, classes@kyld.org
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Payment Options
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Full payment for the class fee you selected is due on the student's first day of class.