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Billing information

First name*

Last name*

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We'll send your receipt and other important info to this email.

Country

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Participant info

Parent's Full Name - First name*

Parent's Full Name - Last name*

Email*

Mobile phone

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Your payment

Your price

$110 (+ 2.6% Tax)

Coupon code

Schedule of payments

Due	Amount	2.6% Tax	Total
Today	$110.00	$2.86	$112.86

Today	$112.86

PayPal

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Schedule of payments

Due	Amount	2.6% Tax	Total
Today	$110.00	$2.86	$112.86

Today	$112.86

Gotta Dance Tucson