Charlotte Dance Medicine | Class Interest Form

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(704) 807-4694

admin@charlottedancemedicine.com

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Dancer Name:

Parent Name:

Email

Phone Number:

Dance Studio:

Class/Location Preference

I do not have a group, but would like to be matched with one if possible

I have a group and their info is below:

Other group members (dancer & parent names, email addresses):

Questions / anything you would like to add:

Thanks for submitting!

Group Classes Interest Form

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Terms & Conditions

(704) 807-4694

admin@charlottedancemedicine.com

Book a Phone Consultation

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CDM Charlotte

3420 Park Rd, Charlotte (inside VIM FIT)

CDM Huntersville

9820 Northcross Center Ct, Huntersville

CDM Harrisburg

12036 University City Blvd, Harrisburg (inside Dance Fusion of Harrisburg)

CDM Stallings

4416 Potter Rd, Stallings

(inside Level Up Dance)

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First Name

Last Name

Email

Dance Studio/Company/Program

We're excited you're here!

©2022-2024 Head2Toe Physical Therapy, LLC dba Charlotte Dance Medicine

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