| Username |
vmreed
|
| First Name |
Vernadette
|
| Last Name |
Reed
|
| Display First Name |
Vernadette
|
| Display Last Name |
Reed
|
| Birthday |
May 6
|
| T-Shirt size |
S
|
| Have you ever enrolled in a MAK3, DMX, X-Factor, or Dance Doctor Class or Workshop? |
No
|
| I have never taken a MAK3/DMX class |
I have never attended
|
| Interest (check all that apply) |
East Coast Region Dance
|
| Terms of Use acknowledgment |
Yes
|
| Privacy Policy acknowledgment |
Yes
|
| Phone |
7032010468
|
| City (required) |
Manassas
|
| State (required) |
VA
|
| Country (required) |
United States
|
