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 Registration 
Please complete the following form to register your child. Your registration will be complete after we receive registration fee, appropriate tuition, and dress code leotard fee (if applicable). Make all checks payable to Wexford Dance Academy.

Student Name:
Parent/Guardian Name:
Telephone:
Email:
Address:
City:
Zip Code:
Students DOB:
Students Grade:
Emergency Name and Telephone:
Health Conditions/Allergies:
Security code:
 *
Do not enter anything in this field:
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Please click here to see our summer schedule.
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Wexford Dance Academy
2611 Nicholson Rd
Sewickley, PA 15143
Phone: 724-934-9233
Email: gbh65@verizon.net
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