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Pankow PA Dance Application
Please fill out entire form and submit by February 13, 2023 if you would like to be placed in Pankow PA Dance levels 1 - 3. An audition will be set up and information emailed to you.
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* Indicates required question
Applicants First and Last Name
*
Your answer
Applicants Mailing Address
*
Your answer
Applicants Grade Level in 2022- 2023
*
9th Grade
10th Grade
11th Grade
12th Grade
Applicant or parent email
*
Your answer
Current School
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MSN
MSS
MSE
MSC
LCHS
LCNHS
Other
Required
If you are currently an 8th grader, what HS will you be attending?
LCHS
LCNHS
Other
Clear selection
Years of ballet training (If none answer with "0")
*
Your answer
Years of Jazz experience (If none answer with "0")
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Your answer
Years of Modern, Lyrical, or Contemporary eperience (If none answer with "0")
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Your answer
Years of Competitive Dance experience (If none answer with "0")
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Your answer
If you have dance experience, where did / do you dance? Also list age when attending the studio
Your answer
Parents name(s) and phone number
*
Your answer
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