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Informed Consent

Please fill out the following form
in order to participate in our programs.

Has the participant been hospitalized in the last 12 months?
Is the participant suffering from a medical condition, illness, or injury?
Select an option

Thanks for submitting!

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513.278-7123

Revolution Dance Theatre

1569 Chase Ave.

Cincinnati, Ohio 45223

©2024 by Revolution Dance Theatre.

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