Dream Center Dance Academy

Dancer's Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number * ### - ### - ####
Parent's Email Address *
Dancer's Date of Birth * MM / DD / YYYY
Dancer's Grade for 2011/12 *
Do you have any prior competition experience? *
Yes No
If Yes, please list experience

Experience should include number of years dancer has competed, genres of dance studied, any awards won, etc.
Why do you want to be a member of The Dream Center Dance Company? *
*
I give my dancer permission to attend the 2011/2012 Dream Center Company auditions

To be checked by parent or guardian
Do Not Fill This Out

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