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To register, please take the time to fill out the information below.

Please only complete if attending class

**Please note the first and last name (first two boxes of this form) are the dancers name (so we have them logged in as their name which makes everything easier)

Authority to be pictured/filmed for the website and appear in future Bliss show event filming (Note: if under 18 years, your parent/guardian must sign)

**If you're using a PC/laptop; please use the mouse to sign your signature on the line**

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