Student Registration 
 
Class/Camp:
Child's Name:
Age/Grade:
Address:
City/Zip:
  
Phone: Cell: Emergency:
Parent Name: Parent Name:  
E-mail:
Please let us know about any health problems/learning disabilities or concerns:
 
Dunn-Razo Dance Company and any of its affiliates are not responsible for personal injury, lost or stolen property. I am aware that this is a liability of release between myself and Dunn-Razo Dance Company and sign of my own free will. Dunn-Razo Dance Company does not discriminate against race, religion or ethnicity.
 
Parent/Legal Guardian Signature_________________________Date_____
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Print, complete and bring application with tuition toyour first class.
Make checks payable to: Dunn-Razo Dance Company.
To ensure your space in any class, pre- registration can be mailed to:
3753 Louisiana St. San Diego Ca, 92104.
619-220-8384