2024-2025 Supplemental Student Information Form
Student's Name
AOD Level
Academic School and District
Select any that apply:
homeschool/co-op
online school
private school
Person Responsible for Tuition
Phone
Student is dancing for (select all that apply)
health
enjoyment
professional aspirations
Other
Physician's Name
Physician's Phone
Does your student have any chronic medical conditions that may impact their dancing or require special attention (e.g. asthma, chronic fatigue, etc.)?
(New students only) How did you hear about us?
Please check any of the following that apply:
Student intends to participate in teh summer concert (June 14)
Student intends to audition for Spokane Youth Ballet ages 10+ only; rehearsals are held Saturday
Photos of the student may be used for display or promotion without compensation
Please be sure to do ALL of the following before submitting this form:
Register for class on Dance Studio-Pro (an office staff member can assist you)
Read and agree to the Medical/Liability Waiver and Studio Policies on your account
Add no-reply@dancestudio-pro.com to your email contacts
Preview PDF
Submit
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