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* 1. Adult/ Father figure's name

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* 2. Child's/ children's name(s)

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* 3. Child's/ children's age(s)

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* 4. Method of payment? ($15 per couple..$5 per additional young lady)

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* 5. How do I pre-pay for event?

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* 6. For further information (dancecommittee2@gmail.com)

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* 7. Please provide your email address below

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