Blaine Dance Team's 2019 Youth Clinic Registration
The Youth Clinic will take place on Saturday, October 12th, 2019 from 9-11:30am.

The Blaine Dance Show will also take place on Saturday, October 12th, 2019 beginning at 6:30pm where the girls are invited to perform the dances they learned at the youth clinic with the Bengalettes.
Email address *
Dancer Name *
Your answer
Grade *
Parent/Guardian Name(s) *
Your answer
Parent/Guardian Primary Phone Number *
Your answer
Parent/Guardian Email Address *
Your answer
Name of additional person to contact other than parent/guardian *
Your answer
Email Address of additional person to contact other than parent/guardian (above mentioned) *
Your answer
Medical Information (allergies, asthma, etc.) *
Your answer
Dancer T-Shirt Size *
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