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Additional Information

Student's Date of Birth *
Location of School *
Student's Dance Level *
Class time *
E-Mail *
Mother's First Name *
Mother's Last Name *
Mother's Occupation
Mother's Cell Phone number *
Father's First Name *
Father's Last Name *
Father's Occupation
Father's Cell Phone number *
Student's Grade *
Student's Extra Curricular activities *
Student's Medical Emergency contact *
Student's Emergency Contact Address *
Student's Emergency Contact Phone number *
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We have three locations where we teach dance (San Jose, Fremont and Santa Clara). For more details please send an email to:

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Call (408) 270 9295.

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