Kivajat Finnish-American Folk Dancers
Please complete one form per dancer
Dancer Name
First Name
Last Name
School
Grade
Dance Group
Kivajat (3rd-7th grade) - Mondays 3:45 - 5:00pm (5:20 for 5th-7th graders)
Loistavat (8th-12th grade) - Mondays 6:30 - 8:00pm
Pikku Kivajat (K-2nd grade) - Thursdays starting mid-winter, 3:45 - 5:00pm
Parent Name
First Name
Last Name
Parent E-mail
Email is our main means of communication for announcements and information
Parent Phone Number
Format: (000) 000-0000.
Parent or Secondary Adult Name
First Name
Last Name
Parent or Secondary Adult E-mail
Email is our main means of communication for announcements and information
Parent or Secondary Adult Phone Number
Format: (000) 000-0000.
Dancer E-mail, if desired
Email is our main means of communication for announcements and information
Dancer Phone Number, if desired
Format: (000) 000-0000.
Dancer Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Medical or Behavioral Concerns (allergies, asthma, diabetes, etc.)
Permissions
As parent/guardian, I hereby grant permission for the above dancer to participate in all Kivajat group activities, including rehearsals, performances, and special events. I retain the responsibility for any and all bodily injury, or loss or damage of personal property while involved with the Kivajat or traveling to and from events. I will transport and superivse my dancer or will assign a proxy to do so.
Photos and videos of the above dancer may be used for publicity by the Kivajat or any special event planners
Parent/Guardian Name
Date
/
Month
/
Day
Year
Date
Submit Application
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