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Lottery Application For New Students / Aplicación de Lotería Para Nuevos Estudiantes
Child's First Name / Primer nombre del niño(a)
Your answer
Child's Last Name / Apellido del niño(a)
Your answer
Gender / Género
Birthdate / Fecha de Nacimiento
MM
/
DD
/
YYYY
Age / Edad
Parent Name / Nombres del padres
Your answer
Address / Dirección
Your answer
Apt #
Your answer
State / Estado
Your answer
Zip
Your answer
Home Phone Number / Teléfono de casa
Your answer
Cell Phone 1 / Teléfono celular 1
Your answer
Cell Phone 2 / Teléfono celular 2
Your answer
Email / Correo electronico
Your answer
Check the box next to the dance form(s) that interest(s) you / Marque la casilla junto a la forma(s) de baile que le interesan a su hijo(a):
AGES 4 - 7 / EDADES 4 - 7
AGES 8 and older / 8 años en adelante
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