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National Honor Society of Dance Arts
Breaking Ground Dance Center Chapter-Pledge Form
This form must be completed before December, 1st. Membership includes dues to the NDEO and administrative costs.
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* Indicates required question
Membership Level
*
New Member-$130
Renewing Member-$110
Graduating Senior-$120 (includes honor cords for graduation)
Pledge's Full Name
*
Your answer
Pledge's Email Address
*
Your answer
Academic School
*
Your answer
Grade for 2023-2024 School Year
*
Freshman
Sophomore
Junior
Senior
Most Recent GPA (grade point average)
*
Your answer
Current Dance School
*
Your answer
Number of years dancing:
*
Your answer
Number of days per week this year that you are dancing:
*
Your answer
Parent's Full Name (Credit Card Holder)
*
Your answer
Parent's Address (Street, City, Zipcode)
*
Your answer
Parent's Email Address
*
Your answer
Cell Phone Number
*
Your answer
Essay (Please write a short 100-word essay on why you want to be a member of the NHSDA and how you think the membership will benefit you. Copy & past here)
*
Your answer
T-shirt/Sweatshirt Size
*
Adult Small
Adult Medium
Adult Large
Adult Extra Large
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