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Central Lake Dance Program Registration
Please complete this form and you will be contacted with class placement.
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* Indicates required question
Parent/Guardian Name
*
Your answer
Phone Number
*
Your answer
Email address
*
Your answer
Dancer name (please complete one form per dancer)
Your answer
Grade of Dancer
*
PreK-2nd
2nd-5th
6th-12th
Adult
What types of dance are they interested in?
Tap
Lyrical
Jazz
Hip Hop
PomPon
Character
Creative movement (PreK-2nd)
What town or school district do you live in?
*
Ellsworth
Central Lake
Bellaire
East Jordan
Other:
Is there any other information we should know?
Your answer
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