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MT Ed Dance Registration
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Name
*
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Student Grade
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Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Birthdate
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YYYY
Student E-mail (if available, for Google Classroom)
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1st Emergency Contact Name
*
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1st Emergency Contact Cell Phone Number
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2nd Emergency Contact Name
*
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2nd Emergency Contact Phone Number
*
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Parent E-mail
*
Your answer
Classes Registering For:
*
Pre-dance Sunday 10:30-11:00 (starts October 1)
Tumbling (all levels) Sunday 11:00-12:00
Intermediate Tap - Sunday 12-12:45
Musical Theatre (all levels) - Sunday 12:45-1:30
Beginner/Intermediate Stretch and technique Sunday 1:30-2:30
Beginner/Intermediate Contemporary Sunday 2:30-3:15 (must take stretch and technique)
Beginner/Intermediate Jazz Sunday 3:30-4:15 (must take stretch and technique)
Ballet (all levels) Sunday 4:15-5:00 (must take stretch and technique)
Beginner Tap Sunday 5:00 - 5:45 PM
Hip Hop (all levels) Tuesday 4:30-5:15
Advanced Tap Tuesday 5:15-6:00
Advanced Stretch and Technique Tuesday 6:00-7:00
Intermediate/Advanced Jazz 7:00-7:45 (must take stretch and technique)
Advanced Contemporary Monday 7:45-8:30 (must take stretch and technique)
Solo (must be in a discipline the student takes group instruction in)
Duet (must be in a discipline the student takes group instruction in)
Trio (must be in a discipline the student takes group instruction in)
Required
Duet/Trio Partner(s)
Your answer
Conflicts (ie: family vacations, school events)
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Allergies/Medical concerns Staff should be aware of:
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