Dance Institute of Washington Online Registration

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Welcome to The Dance Institute of Washington's online registration! Please fill out the information below. A $25 registration fee must be paid before submitting this form; tuition is due before classes begin. ¡Bienvenido al Instituto de Danza de Washington linea de registro! Favor de completar la información inferior. El costo de $25 de inscripción se tienen que pagar antes de someter la aplicación de matriculación. La matrícula debe abonarse antes del comienzo de las clases.

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Student #1

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Non-Physical Accomodations (i.e. emotional, behavioral, leave blank if none)

Dietary Restrictions (i.e. food allergies, vegetarian; enter "N/A" if none)*

Medical Needs (i.e. meds given at home, emergency meds like EpiPen, leave blank if none)

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Physical Accommodations (i.e. elevators, leave blank if none)

Non-Physical Accomodations (i.e. emotional, behavioral, leave blank if none)

Dietary Restrictions (i.e. food allergies, vegetarian; enter "N/A" if none)*

Medical Needs (i.e. meds given at home, emergency meds like EpiPen, leave blank if none)

Primary Doctor

Free/Reduced Lunch?*

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Other?*

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Name of Current School*

Current Grade Level*

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Non-Physical Accomodations (i.e. emotional, behavioral, leave blank if none)

Dietary Restrictions (i.e. food allergies, vegetarian; enter "N/A" if none)*

Medical Needs (i.e. meds given at home, emergency meds like EpiPen, leave blank if none)

Primary Doctor

Free/Reduced Lunch?*

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Black/African American?*

Other?*

Enroll in Classes

Select Class *

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Student's First Name*

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Student Email

Name of Current School*

Current Grade Level*

Physical Accommodations (i.e. elevators, leave blank if none)

Non-Physical Accomodations (i.e. emotional, behavioral, leave blank if none)

Dietary Restrictions (i.e. food allergies, vegetarian; enter "N/A" if none)*

Medical Needs (i.e. meds given at home, emergency meds like EpiPen, leave blank if none)

Primary Doctor

Free/Reduced Lunch?*

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Black/African American?*

Other?*

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