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REGISTER

What would you like to register for?

Techniques you're interested in (check all that apply)

Pre-Ballet (ages 3-5)

Basic Ballet

Tap

Hip Hop

Jazz

Lyrical

Not sure

Which Mini-Camp?

Which Summer Camp?

Your first name

Your last name

Emergency contact number

Your child's name

Email

Your child's date of birth

School your child attends

Previous dance experience

What days are you free after school?

Monday

Tuesday

Wednesday

Thursday

Friday

Any allergies or medications?

Any injuries or mental illness

How about weekeds?

Saturday Morning

Saturday Afternoon

Sunday Morning

Sunday Afternoon

Evenings work!

Were you referred by a friend? If so, who?

Thanks for submitting!

50 Lexington Avenue

New York, NY 10010

917.675.9190

347.338.7436

212.488.1094

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info@tylerbrowndance.com

First Name

Last Name

Email

Message

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CONTACT US

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