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Free Introductory Dance Lesson! Call Today! (201) 204-6006

Khushi Dance Registration

First name (Student)

Birthday (Student) Select Year and then Month

Phone Number 1

Phone Number 2

Middle/Last name (Student)

Email

Email 2

Join Date (Select Year ad then Month)

Class Day and Time (i.e Monday 7PM)

Street Address

Street Address Line 2

City

State

Postal / Zip code

Country

Important: Please read/download the below document and acknowledge by adding your signature.

Welcome to Khushi Dance Academy 2024

I have read and acknowledged.

Signature of Acknowledgement

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