MCA Summer Dance Intensive Registration Form- 2020
Student First Name *
Student Last Name *
Age
Date of Birth
If you are currently in school, please list school and current grade/ year
Mailing Address
City, State, Zip
Parent/Guardian Name (if under 18)
Parent/Guardian E-mail (if under 18) *
Student Email
Home Phone
Student Cell Phone
Parent/Guardian Cell Phone or Daytime Phone
Emergency Contact Name & Phone
Home dance studio
Where did you first learn about the MCA SDI?
Where did you audition? (Returning students who are auditioning for scholarship at a live audition, please indicate which audition you plan to attend.)
Clear selection
I have been accepted and am registering for: *
Please list a name of roommate request if you have one.
Are you a returning student?
Clear selection
Have you attended a SDI before?
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Please list other SDI's you have attended
Are you on pointe?
Clear selection
How much tap dance experience do you have?
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Are you interested in learning more about the Dance & Theatre programs & scholarships at our parent institution, Saint Mary's University?
Clear selection
Do you have any allergies or dietary needs? If yes please explain.
Do you have any questions or concerns?
I will pay my $50 non-refundable deposit
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