Registration Form 2020-2021

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Valentina’s School of Ballet
Registration Form: Fall 2020-2021
Student's name:
Student's D.O.B:
Contact email:
Special Needs/Allergies:
Parents/Guardians Name (if student is under 18):
Address:
City:
Zip:
Cell Phone:
Emergency contact:
Phone:
Previous Dance Experience
Ballet (yrs):
Pointe (yrs):
Jazz (yrs):
Contemporary (yrs):
Previous Dance Schools:
0 /
Are you interested in Company Team:pick one!
Classes Interested in:
0 /
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