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Feature your CDA Dancer by celebrating them with a Shining Star ad during our Show week! These Stars will appear in the theater on our big screen before the show, during intermission, and in the lobby AT EVERY SHOW! Each star will include photograph of your dancer with a small congratulations message from you and your loved ones. Shining Stars are available to all performers ages 3yr and up! All Stars are $25.00 each and your card on file will be charged upon submission of this order. You will receive a PROOF of the ad prior to the show weekend. All photos must be emailed to: niki@cummingdanceacademy.com **Please help our design time by turning your information in as soon as possible so that we can begin creating your ad immediately.

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	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

Questions/Options:


Please list the Dancer Name and Age*
Please list the class day & time for your dancer including the teacher.*
Please type in the text you would like to appear on your Shining Star. Short messages will be easily read on a slide show, we suggest one - two lines only.*

Additional Information:

Payment

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