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Name:
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Comment:
Email Address
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First Name
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Last Name
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I want to become a SHiNE/UPLIFT instructor because
I'm most interested in becoming a (select one):
SHiNE Instructor
UPLIFT Instructor
I follow SHiNE Dance Fitness on:
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I signed up from:
Nation Dance Dance Day Promo
I'm Interested In (Select All That Apply)
Joining SHiNE Online
Working out at HQ
Becoming an UPLIFT Instructor
Becoming a SHiNE Instructor
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