Bay Point Church Dance Academy
2019 Bay Point Church Dance Registration Form
Participant Last Name *
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Participant First Name *
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Participant Gender
Participant School Grade
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Participant Date of Birth *
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Address *
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City *
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State *
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Zip *
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Church (if you regularly attend church, which one?)
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Participant Information Notes (anything you'd like us to know)
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Parent/Guardian Name *
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Parent/Guardian Phone Number *
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Parent/Guardian Email *
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Emergency Contact Name *
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Emergency Contact Phone Number *
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By checking yes below, I understand payment of $150 is due on March 13th during the meet and greet from 5:30-7:30pm. This will cover 7 weeks of instruction, uniform, and performance. *Shoes and tights are not included and should be purchased prior to first lesson on March 27th. Lessons are Wednesdays from 5:30-7:30pm, March 27th through May 8th. The final performances are on Sunday May 12th during both 9:00am and 10:30am services at Bay Point Church. *
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