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MCA Summer Dance Intensive Registration Form- 2020
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* Indicates required question
Student First Name
*
Your answer
Student Last Name
*
Your answer
Age
Your answer
Date of Birth
Your answer
If you are currently in school, please list school and current grade/ year
Your answer
Mailing Address
Your answer
City, State, Zip
Your answer
Parent/Guardian Name (if under 18)
Your answer
Parent/Guardian E-mail (if under 18)
*
Your answer
Student Email
Your answer
Home Phone
Your answer
Student Cell Phone
Your answer
Parent/Guardian Cell Phone or Daytime Phone
Your answer
Emergency Contact Name & Phone
Your answer
Home dance studio
Your answer
Where did you first learn about the MCA SDI?
Your answer
Where did you audition? (Returning students who are auditioning for scholarship at a live audition, please indicate which audition you plan to attend.)
La Crosse Dance Center- La Crosse, WI
Pointe School of Dance- Cedar Rapids, IA
Minnesota Conservatory for the Arts- Winona, MN
I sent in a video audition
I am a returning student and did not and will not attend a live audition this year
Clear selection
I have been accepted and am registering for:
*
Three-week intensive including housing, meal and chaperone fees
Three-week intensive just tuition (no housing, food or chaperones)
Please list a name of roommate request if you have one.
Your answer
Are you a returning student?
Yes
No
Clear selection
Have you attended a SDI before?
Yes
No
Other:
Clear selection
Please list other SDI's you have attended
Your answer
Are you on pointe?
No
Yes, for less than 1 year
Yes, for 2-3 years
Yes for 4-5 years
Yes for 6+ years
Other:
Clear selection
How much tap dance experience do you have?
Little to none
2- 3 years
4-5 years
5 or more years
Other:
Clear selection
Are you interested in learning more about the Dance & Theatre programs & scholarships at our parent institution, Saint Mary's University?
Yes
No
Maybe
Clear selection
Do you have any allergies or dietary needs? If yes please explain.
Your answer
Do you have any questions or concerns?
Your answer
I will pay my $50 non-refundable deposit
By check
By credit or debit by secure online payment through MCA's online Registration System (we will invoice you)
Clear selection
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