Open Play – DANCE FACTORY

Open Play Mondays 9:30-10:20 AM

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Dancer's name

First

Last

Dancer's Address

Address Line 1

Address Line 2

City

State

Zip Code

Dancer's date of birth

Parent/Guardian Name

First

Last

Parent/Guardian Email

Parent/Guardian Phone

Dance Program

Mondays 9:30-10:20 AM - $72.00

Monthly Tuition $72.00 or pay as go $25.00

Permission & Agreement

I agree and give my permission

I give the dancer stated here permission to perform on this team pursuant to all the terms and regulations that apply. Read the Dance Factory Agreement.