| Registering for: | |
| Attach a file, photo, CV, etc. | |
| Select Discipline/s |
Ballet Jazz Tap Pointe Pre-Kinder I Pre-Kinder II Pre-Junior Elite Team |
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Regular classes are compulsory to be eligible for Elite classes |
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| Dancer's Name: | |
| Address (Number & street) | |
| City - Postal code | |
| Telephone (Home and/or cell) | |
| Email Address: (REQUIRED) | |
| Date of Birth & Present age | |
| Allergies, injuries, illness | |
| Medicare number | |
| Dance experience (Schools & Teachers) | |
| Your level of dance |
Beginner Intermediate Advanced |
| How many years of dance |
One Two Three Four Five More |
| Where did you hear about Danse 501 Dance? |
Internet Messenger Montreal Families *Friend *Other |
| Name of your *Friend or other | |
| Father and Mother's name | |
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Danse 501 Dance and/or their staff are not responsible for any injuries incurred during any activity at the dance studio or competitions. Thank you for choosing our dance school! |
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| Comments: | |