Student's Name:
DOB / Age:
Street Address:
City/State/Zipcode:
Telephone No:
Email:
Parent's Name:
Parent's Tel:
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Which campus will you be attending - Norristown or Philadelphia:
Which teen/adult classes are you interested in: (scroll down)
Which youth classes are you interested in: (scroll down)
Please describe your previous dance training/ministry experience:
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P.O. BOX 2, BRIDGEPORT, PA 19405  |  TEL 888.886.4354
CHRIST CENTER FOR DANCE