Registration

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Ages 13-18 by June 1st, 2025 Please wear a solid colored leotard, pink tights, have hair pulled back neatly in a bun and bring ballet and tan jazz shoes. No skirts or jewelry please. Auditions will be held upstairs in Studio B, please arrive 15 min in advance to fill out audition forms and get numbers.

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End Date/Time:

Fee per Student:

Room:

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Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info*

Students entered below will be added to your family's account

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	School:	Grade Level:
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):
	Primary Doctor:

Additional Information: