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Dance & Audition Intensive

February 16th-19th 10am-4pm

5 First Ave Latham NY

Guardian Name

Student Full name

Student age

Food allergy?

Email*

Phone

Dates Attending

Full workshop $275

One-Day only $75

Tumbling add on $30

Paying by:

www.kennedymovement.com

info@kennedymovement.com

Latham, NY 12110

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