FW Crimson Tide Dance Registration
Please completely fill out this 2021 Fall Dance Season Form
Registration Fee is $35 for ALL Dancers
Email *
Participant's First Name *
Participant's Last Name *
Participant's School
Grade
Parent/Guardian First Name *
Parent/Guardian Last Name *
Phone number *
Parent 2 First Name
Parent 2 Last Name
Parent 2 Phone Number
Address *
City
Zip Code
Participant Date of Birth *
MM
/
DD
/
YYYY
Participant age as of July 30, 2021 *
Participant T-shirt size *
Emergency Contact Name (First, Last)- other than a parent
Emergency Contact Phone Number
List any medical conditions or concerns
Comments
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