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Lloydminster Ukrainian Cultural Association Malanka Dancers Registration Form 2021-2022 Dance Season
Please fill out 1 form per dancer
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* Indicates required question
DANCER NAME (First & Last)
*
Your answer
HOME ADDRESS
*
Your answer
CITY/PROV/PCODE
*
Your answer
DANCER PHONE NUMBER (if applicable)
Your answer
BIRTH DATE
*
MM
/
DD
/
YYYY
AGE
*
Your answer
GENDER
*
Female
Male
Which level was dancer registered in the 2019-2020 dance year?
*
The Malanka Dancers did not hold a regular dance season in 2020-2021 therefore we are requesting the previous year's dance level.
Pre-Beginner
Beginner
Pre-Junior
Junior
Intermediate
Senior
Adult
Did not dance
Previous Dance Experience (years & club(s))
years, genre & club(s)
Your answer
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