Blaine Dance Team's Youth Clinic 2018 Registration
The Youth Clinic will take place on Saturday, October 13th, 2018 from 9-11:30am.

The Blaine Dance Show will also take place on Saturday, October 13th, 2018 beginning at 6:30pm where the girls are invited to perform the dances they learned at the youth clinic with the Bengalettes.

Dancer's Name *
Your answer
Grade *
Parent's Name(s) *
Your answer
Parent's Primary Phone Number *
Your answer
Home Address *
Your answer
Parent's Email Address *
Your answer
Medical Information (allergies, asthma, etc.) *
Your answer
Name/Phone Number of additional person to contact other than the parent *
Your answer
Dancer's T-Shirt Size *
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