DCT Company 2023-2024 Registration Form

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DCT Company
Contact us at (315) 398-8183 or dancecheertumble@gmail.com

Students Name *

Students Date Of Birth *

YYYY

Street Address, including city and zip code *

Student phone number

Student email (for email music and music cuts)

Parents Names *

Parents Phone Number *

Parents email (for all communication) *

School District *

Emergancy Contact (name, phone number, and relationship) *

Allergies and or medical condition *

Can my child walk to Cam’s?
*

Yes

With a buddy

With an older student (14+)

With an Adult

Please Check the following if applicable *

I will allow recital and/or dance pictures of my child to be used in advertising and on the website.

I will not allow recital and/or dance pictures of my child to be used in advertising and on the website.

Required

Please check ONE of the following: *

My child will participate in the dance recital in June, 2024. I understand that there are costume fees and recital fees associated with performing in the recital

No, my child will not participate in the June Recital

I am not sure if my child will participate in the June recital

Required

Please check one of the following: *

We are interested in competition.

We are not interested in competition

We would like more information about competition.

Required

Please check bellow if your are interested in our dinner and a show production: *

Yes

More info please

Required

Please select how you would like to pay our registration fee: *

Bring in $5.00 at the start of dance

Bring in hair ties

Bring in Tissues

bring in paper towels

Bring in cleaning supplies

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