Registration

The PerCo performs at local and community events throughout the Triangle. You can learn more here: https://bit.ly/3yiwWh1

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

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

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info (Not Contact #1 or #2)*

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

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	Grade Level:*
	Allergies:*
	Dance and/or music experience:*
	If yes, where?:

Questions/Options:


Why are you auditioning? What are your goals as a dancer? *
Are you involved in any other school or extracurricular activities? *

Additional Information:

Payment Information

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