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Practice and perform with members from Encounter Performing Arts Company! Work on ballet, acrobatics, pre-pointe and contemporary dance and more in this week long adventure with amazing mentors and teachers! This is a camp you won't want to miss! July 10-12 12:30-3:30pm
Event:
Start Date/Time:
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Room:
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Family Information
First Name:
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Last Name:
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Address:
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City:
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State:
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Emergency Contact Info
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Students entered below will be added to your family's account
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Student's First Name:
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Student Gender:
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Birth Date:
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School:
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Allergies (Leave blank if NONE):
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School:
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Medications (Leave blank if NONE):
Primary Doctor:
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Student's First Name:
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School:
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Primary Doctor:
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Student's First Name:
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Student Gender:
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School:
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Disabilities (Leave blank if NONE):
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Primary Doctor:
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Student's First Name:
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Birth Date:
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(format=mm/dd/yyyy)
School:
*
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
*
Questions/Options:
What size performance tee would you like? These are $20 per student (if in more tha none camp it will be just one tee shirt purchase) Choose from 3t-Adult sizes.
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Additional Information:
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DE
FL
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HI
IA
ID
IL
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KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
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TN
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