Dance P.A.L Registration 2017-2018
Dance 2017-2018 Please answer all questions. N/A if it doesn't apply.
Student Information- Name First and Last *
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Street Address, Town, Zip *
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Birthday and age *
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Home phone number *
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Parent/Guardian's name and Cell *
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Parent/Guardian's name and Cell
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Emergency contact, number and relation *
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Parents e-mail *
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Parents e-mail
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