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DDC New Student Registration
Fall 2023 Enrollment Form
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Email
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Your email
Today's Date
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MM
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DD
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YYYY
Student Name (First, Last)
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Your answer
Date of Birth
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Your answer
Sex
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Male
Female
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School
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Your answer
Grade
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Your answer
Parent/Guardian Name
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Your answer
Home Address (include city please)
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Your answer
Parent Cell Phone Number
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Your answer
Student Cell Phone Number
Your answer
Emergency Contact (if different from parent/guardian)
Name and number
Your answer
ALLERGIES
Your answer
ANY MEDICAL OR OTHER INFO WE SHOULD BE AWARE OF
Your answer
Dance Experience (include style(s) and years)
*
Your answer
What classes is the student interested in?
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Your answer
How did you hear about us?
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Referral - please let us know who below
Show/Demonstration - please let us know the location
Advertisement/Social Media - please let us know which
Internet Search
Other - please let us know how
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