WEAVE Day Program Registration
Submit only one form per child. Once you have registered your 1st child, click "Submit Again" to register more children.
Dancer Information
Dancer's Name *
Birth Date of Dancer *
MM
/
DD
/
YYYY
Age of Dancer as of August 31st, 2020 *
Grade of Dancer *
Parent Full Name *
Parent Email *
Parent Phone Number *
Emergency Contact Information
Emergency Contact #1 Name *
Emergency Contact #1 Relationship to Student *
Emergency Contact #1 Phone Number *
Emergency Contact #2 Name *
Emergency Contact #2 Relationship to Student *
Emergency Contact #2 Phone Number *
Health Concerns of Student
Please list any health concerns that we should be aware of
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