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🕚✨1101 Guardian Interest Form🕚✨
1101 Dance Academy is growing! We are actively seeking beginner to advanced level students (no experience is needed), ages 8 to 18, to join our team for class and competition opportunities that take place from September to June. This form is not a formal application but is needed to begin your dance journey with us. 1101 will reach out to you directly with the next steps if you are interested in becoming TIMELESS with us.

Kindly reach out to: (240) 531-3121, thee1101dance@gmail.com, or www.1101dance.org with any questions you may have on price and class times to ensure that we can serve you as best as possible as we look to have your youth be a part of our program.
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What is the full name of the guardian? *
What is your home address? *
What is the email address of the guardian? *
What is the phone number of the guardian? *
What is a good time to contact you about your interest? *
What is the full name of the student? *
What is the birthdate of the student? *
MM
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DD
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Does the student have any medical conditions?
(Note: We do not exclude for this reason, however, we like to be aware for their safety.)
Does the student have previous experience in dance? *
(Note: Experience is not mandatory to join the program.)
How did you hear about 1101? *
Do you have any specific questions?
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