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CHS Dance - Middle School Clinic
6th-8th Grade Dance Clinic with the CHS Dance Team
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Student LAST Name:
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Student FIRST Name:
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Student Grade Level:
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6th
7th
8th
Middle School
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Student Email Address:
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Student T-Shirt Size:
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Parent/Guardian Name:
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Parent/Guardian Email Address:
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Parent/Guardian Cell Phone #:
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Parent/Guardian Home Phone #:
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Food Allergies?
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Emergency Contact Name & Cell # (other than parent):
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Will this student be performing on Friday, April 26th?
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