Boyan Dance Registration Form 2022-23
PLEASE FILL OUT 1 FORM PER DANCER.

After completing the form, you will receive a confirmation e-mail to verify that your registration has been received.

Please note that all class placements, including days and times, will be sent out early in the summer.
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NAME: (First and Last) *
PREVIOUS DANCE EXPERIENCE: (Years and Club(s)) *
WHICH LEVEL WAS DANCER REGISTERED IN FOR 2021-22 SEASON: *
ANY KNOWN SCHEDULING CONFLICTS? (Other activities)
BIRTH DATE: *
MM
/
DD
/
YYYY
GENDER: *
AGE: *
HOME ADDRESS: *
CITY: *
PROVINCE: *
POSTAL CODE: *
HOME PHONE #: *
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