2017-2018 DANCE TEAM EMERGENCY INFORMATION
Dance Team
Dancers Full Name
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Grade Level for 2017-2018
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Dancers Birthday (include month, date, year)
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Parent/Guardian Name
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Address
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City
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State
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Zip Code
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Home/Primary Phone
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Parent/Guardian Cell Phone
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Parent/Guardian Cell Phone
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Student/Dancer Cell Phone
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Parent/Guardian Email Address
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Parent/Guardian Email Address
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Student/Dancer Email Address
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Health Concerns/Allergies
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Additional Information
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