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Join us for the Black Gold Rodeo Parade! Members 9 & under will be riding on the float for this parade. Members 10 & up have the option to dance the parade or walk the parade and help hand out parade bags Volunteers are required. Please contact the studio if you are able to volunteer Drop-off: By 8:15 am at the Studio. We will be leaving the studio promptly at 8:30am to make our way to the marshalling area Pick-up: At the Studio immediately following the parade
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
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- denotes required fields
Family Information
First Name:
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Last Name:
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Type
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Aunt
Dancer
Father
Foster Parent
Grandparent
Guardian
Mother
Other
Parent
Sibling
Step-Parent
Uncle
Home Phone:
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Cell #:
Work #:
Email:
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(Emails are kept confidential)
Address:
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City:
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State/Prov:
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Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code:
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Emergency Contact Info (Please enter someone other than Primary Contact)
*
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:
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Female
Male
Other
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
*
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
homeschool
kindergarten
pre-K
preschool
university
Class Accommodations Needed (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Other
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
*
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
homeschool
kindergarten
pre-K
preschool
university
Class Accommodations Needed (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Other
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
*
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
homeschool
kindergarten
pre-K
preschool
university
Class Accommodations Needed (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Other
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
*
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
homeschool
kindergarten
pre-K
preschool
university
Class Accommodations Needed (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Other
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
*
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
college
homeschool
kindergarten
pre-K
preschool
university
Class Accommodations Needed (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Questions/Options:
Will you be walking the parade route with your child?
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Yes
No
Will anyone other than yourself be picking your child up at the end of the parade?
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Yes
No
If Yes - who will be picking up your child?
Would you like to add a CDL Rodeo Tutu to your child's parade experience? $10 will be added to your account
Additional Information:
Participation Waiver
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I give my approval for my child’s participation in this event.  I assume all potential ricks and hazards incidental to the activities.  In case of injury to my child, I hereby waive all claims against Connectivity Dance Ltd., the owner, instructors, employees and volunteer members as well as all parties sponsoring CDL.  I release from responsibility any person transporting my child to and from the studio and the event, or in case of emergency to the doctor or hospital.
I've read the above and agree.
Enter your Full Name:
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