Lloydminster Ukrainian Cultural Association Malanka Dancers Registration Form 2021-2022 Dance Season
Please fill out 1 form per dancer
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DANCER NAME (First & Last) *
HOME ADDRESS *
CITY/PROV/PCODE *
DANCER PHONE NUMBER (if applicable)
BIRTH DATE *
MM
/
DD
/
YYYY
AGE *
GENDER *
Which level was dancer registered in the 2019-2020 dance year? *
The Malanka Dancers did not hold a regular dance season in 2020-2021 therefore we are requesting the previous year's dance level.
Previous Dance Experience (years & club(s))
years, genre & club(s)
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