Boys Scholarship Audition Registration 2022

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Wednesday, September 14th 6:45-7:45

Dancer's Last Name *

Dancer's First Name *

Dancer's Date of Birth *

YYYY

Parent 1 or Guardian Name *

Parent 2 or Guardian Name

Dancer's Email Address *

Parent's Email Address *

Home or Cell Phone # *

Dancer's Cell Phone #

Home Address *

Dancer's Current Grade Level *

Number of Years Dancing *

How many dance classes per week? *

List all prior dance schools and summer intensives (starting with your present studio) *

I release The Raleigh School of Ballet,Inc. from liability for injuries to the person or property if the student which may occur while participating in the activities of the School. I futher agree to indemnify The Raleigh School of Ballet, Inc. in the event any claims are asserted against it arising from the student's participation in the activities of the School or the affiliated performance company. Please sign below. *

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