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Gold Canyon School of Ballet - Summer 2023 Ballet Registration
Contact Maddy prior to completing this form to receive your dancer's level placement. Text preferred: 602-341-5714.
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* Indicates required question
Email
*
Your email
Dancer First & Last Name
*
Your answer
Dancer DOB
*
Your answer
Dancer Age as of June 1, 2023
*
Your answer
Guardian First and Last Name
*
Your answer
Guardian DOB
*
Your answer
Relation to Dancer
*
Your answer
Guardian Phone Number
*
Your answer
Guardian Email (Primary Method of Contact, Please Check Frequently)
*
Your answer
Guardian Occupation
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Your answer
Who will normally be bringing your dancer to and from class?
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Your answer
Emergency Contact - Name and Phone Number
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Your answer
Does your dancer have any allergies?
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No
Other:
Is there anything we should know about your dancer? (Such as disabilities, special needs, etc.)
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Your answer
Any dance experience?
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Your answer
Dancer Address
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Your answer
Dancer Level Placement (Contact Maddy with Questions)
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Ages 3-4 Ballet
Ages 5-6 Ballet
Ballet 1
Ballet 2
Ballet 3
Attending one or both weeks?
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Only Attending in June
Only Attending in July
Attending Both Weeks
I am an adult ballet dancer attending on a drop-in basis.
Other:
I understand that each class requires a uniform and to contact Maddy with uniform questions.
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Yes
I understand that Ms. Kirsten will be teaching Ages 3-4 Ballet, Ages 5-6 Ballet, and Ballet 1.
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Yes
I understand that Mrs. Maddy will be teaching all of Ballet 2 and Ballet 3 on Mondays and Saturdays.
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Yes
I understand that Ms. Michelle will be teaching Ballet 3 on Fridays.
*
Yes
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