National Honor Society of Dance Arts
Breaking Ground Dance Center Chapter-Pledge Form

This form must be completed before December, 1st. Membership includes dues to the NDEO and administrative costs.
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Membership Level *
Pledge's Full Name *
Parent's Full Name (Credit Card Holder) *
Parent's Address (Street, City, Zipcode) *
Parent's Email Address *
Phone Number *
Academic School *
Pledge's Email Address *
Current Dance School *
Grade for 2022-2023 School Year *
Most Recent GPA (grade point average) *
Number of years dancing: *
Number of days per week this year that you are dancing: *
Essay (Please write a short 100-word essay on why you want to be a member of the NHSDA and how you think the membership will benefit you.) *
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