Adult Class Registration

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Name *

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Birthdate *

Phone Number *

Email *

Address *

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Any type of injuries instructor needs to know *

Miracles in Motion Performing Arts Centre or Boulia Enterprise Real Estate and Development cannot be held responsible for any injuries or accidents that may occur while on property.

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Miracles in Motion Performing Arts Centre or Boulia Enterprise Real Estate and Development cannot be held responsible for any lost or stolen items.

Signature *

Max file size: 20MB

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Adult Class Registration

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