McLane School New Dancer Registration

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Parent or Adult Dancer Email *

Dancer Email(s) (if applicable)

Family (Last) Name *

Dancer Name(s) - please feel free to include your preferred pronouns. *

Parent(s) Names (Adult dancers mark n/a) - please feel free to include your preferred pronouns. *

Primary Address *

Dancer(s) Address (if different from above)

Parent or Adult Dancer Phone Number *

Is texting the Parent or Adult Dancer's phone ok? *

Yes

Dancer(s) Phone Number (if applicable)

Is texting the Dancer's phone ok?

Yes

Clear selection

Dancer(s) Level - Beginner, Novice, Prizewinner, or Champion. (Please specify for each dancer if submitting form for multiple Dancers). *

Dancer Date of Birth (used for determining age group). If filling out the form for more than one dancer, please include each dancer's name and DOB. *

Dancer Shirt Size *

Is Dancer(s) willing to participate in performances this year? *

Yes

Maybe

Emergency Contact Name *

Emergency Contact Relationship to Dancer *

Emergency Contact Address *

Emergency Contact Phone *

Emergency Contact Email *

Anticipated First Day of Class: *

YYYY

Submit

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