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Dance Explosion & Gymnastics Center

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New Student Form

All Things Dance Camp

July 30 | 9:00 am - 3:00 pm | Ages 5 & Up

First Name*

Last Name*

Parent Name*

Parent Email*

Parent Phone*

Age*

Shirt Size*

Any Allergy/Injury Information:*

25 S Greenview Rd, Orwigsburg, PA 17961

(570) 778 - 7926

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