Patapsco Middle School Dance Intramurals

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Student Sign-Up Form

The Mount Hebron Dance Department is offering FREE dance intramurals for all middle school students at Patapsco Middle School, grades 6-8. Come to virtual dance class and learn technique and combinations in the areas of jazz, contemporary, and hip hop.
We will meet weekly on Wednesdays from 3:30-4:30 pm, starting on November 11, 2020. Our last session will be January 20th, 2021.
Meetings will be virtual. Google Meet code will be provided prior to the first meeting.

**Permission slip will be accepted until November 9th, 2020.

Student's Name *

Parent/Guardian Contact (name) *

Parent/Guardian Phone Number *

Parent/Guardian Email: *

Secondary Contact: *

Secondary Contact Phone Number: *

Secondary Contact Email: *

I would prefer to receive: *

phone calls

emails

Required

My child has permission to participate in the Patapsco Intramural Program and I have explained the behavioral and attendance expectations to my child. * *

yes

Parent Signature (please type name) *

Please list any health concerns in the space below:

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