MCA Summer Dance Intensive Registration Form- 2018
Student First Name *
Your answer
Student Last Name *
Your answer
Age
Your answer
Date of Birth
Your answer
If you are currently in school, please list school and current grade/ year
Your answer
Mailing Address
Your answer
City, State, Zip
Your answer
Parent/Guardian Name (if under 18)
Your answer
Parent/Guardian E-mail (if under 18) *
Your answer
Student Email
Your answer
Home Phone
Your answer
Student Cell Phone
Your answer
Parent/Guardian Cell Phone or Daytime Phone
Your answer
Emergency Contact Name & Phone
Your answer
Home dance studio
Your answer
Where did you first learn about the MCA SDI?
Your answer
Where did you audition? (Returning students who are auditioning for scholarship at a live audition, please indicate which audition you plan to attend.)
I have been accepted and am registering for: *
Please list a name of roommate request if you have one.
Your answer
Are you a returning student?
Have you attended a SDI before?
Please list other SDI's you have attended
Your answer
Are you on pointe?
How much tap dance experience do you have?
Are you interested in learning more about the Dance & Theatre programs & scholarships at our parent institution, Saint Mary's University?
Do you have any allergies or dietary needs? If yes please explain.
Your answer
Do you have any questions or concerns?
Your answer
I will pay my $50 non-refundable deposit
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