Just for Kicks

Special Event Registration Form

Event you are attending
Student Name
Age
Student Name (2nd)
Age
Student Name (3rd)
Age
Student Name (4th)
Age
Parent Name
Email Address
Primary Phone Number
Allergies or concerns we need to have on file for your child?
I have read & agree to all policies of the studio and consider this my signature of the waiver on this page.
- Yes, I agree and understand.
Signature (Your name)
Questions or additional information
Send Message

Thank you for registering for our special event. We can't wait to see you all. Please look for an email closer to the date of the event and an invoice to be sent to your email. If you have questions, contact Marla at 910-274-8181.

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Just for Kicks

Dance & Tumbling Studio of Hampstead

Special Event Registration

Special Event Registration Form

Proudly Serving the Hampstead community for 17 years!!

Phone: 910.270.2525

E-Mail: [email protected]
Visit us on Facebook!
14880 US Hwy 17 N * Hampstead, NC 28443
mailing address - 502 Windemere Road, Wilmington, NC 28405

©2020

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