CITY DANCE THEATRE                    Registration 2023/2024

ANNUAL REGISTRATION FEES ARE $35.00 PER DANCER OR $50.00 PER FAMILY.
Registration will not be considered complete or places held in class until registration fee is received.
PLEASE MAIL TO: PO BOX 21839 KEIZER OREGON 97307 or DROP AT STUDIO
School year classes start Monday September 11th 2023
Questions regarding placement or need help with registration .... email - cdtfaculty@comcast.net
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Email *
STUDENTS NAME: First and Last .Please let us know what they like to go by and if that is what you want printed in recital programs/cast lists etc. *
STUDENTS AGE & DATE OF BIRTH *
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STUDENTS SCHOOL GRADE AS OF SEPTEMBER 2023 *
PARENT/GUARDIAN (1) NAME AND PHONE NUMBER *
PARENT/GUARDIAN (2) NAME AND PHONE NUMBER *
PRIMARY EMAIL - ALL COMMUNICATION WILL GO TO THIS EMAIL ADDRESS *
ADD AN E-MAIL - PARENT,GRANDPARENTS ETC. THEY WILL RECEIVE ALL EMAILS  *
PRIMARY MAILING ADDRESS *
EMERGENCY CONTACT - NAME, PHONE # & RELATIONSHIP TO DANCER *
PLEASE LIST ANY MEDICAL CONDITIONS,ALLERGIES AND SPECIAL NEEDS *
DO YOU GIVE PERMISSION FOR CDT TO USE PHOTOS/VIDEO TAKEN OF ABOVE STUDENT FOR ADVERTISING AND PROMOTION? *
SOCIAL MEDIA is a huge part of all our lives and a great tool for us in promoting our studio. We understand that not everyone is ok with their dancers photo/ video on social media platforms.To help us not cross any boundaries please check below so we can honor your wishes.
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