REGISTRATION FORM - majesticsdance.org

Majestics Booster Club
Membership Registration Form
Annual Dues $40.00
Please make checks payable to: Majestics Booster Club

STUDENT INFORMATION

* Indicates required field

Student Name/Grade/Rank *

Student Birthday *

Student Phone Number *

Student Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

PARENT/GUARDIAN INFORMATION

Parent 1 Name *

First

Last

Parent 1 Home Phone *

Parent 1 Cell Phone *

Parent 1 Email *

Parent 2 Name *

First

Last

Parent 2 Home Phone *

Parent 2 Cell Phone *

Parent 2 Email *

Comment *

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