Toddler Tulips Enrollment

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Company name:  
Customer ID:
First name*:   Last name*:
Phone:   Alt phone:
Email:   Alt email:
Student First/Last Name*:
Preschool/School Name*:
Student Date of Birth*:
Parent Occupation*:
Toddler Tulips Class Selection *:
Leotard Size*:
Tights *:
I understands all auto payments are due on the 1st of each month.*:
I understand if payments are not received by the 4th a $25 late fee is assessed on accounts*:
I understand a 15 day business notice is mandatory for program cancellation. TERMS page on website*:
I have read and agreed to Dazzle's Terms and Conditions*:

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Terms and Conditions

Dazzle, BBC LLC
823 Exocet Drive
Suite 110
Cordova, TN 38018
(901) 300-0547

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