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* 1. Date of Request:

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* 2. Type or Style of Class:

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* 3. Adult or Youth:

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* 4. Day of Week:

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* 5. Time:

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* 6. Studio Location:

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* 7. Faculty Member Requested:

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* 8. Name of Person Requesting Class:

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* 9. Contact Phone Number:

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* 10. E-mail:

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* 11. Additional Comments:

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