Summer Registration for Current Dancers
This form is for CURRENT dancers ONLY. New dancers must fill out a new dancer registration form. This form must be filled out prior to attending summer classes.
Dancer's Name:
*
First Name
Last Name
Dancer's Parent/Guardian Name (Primary Contact)
*
First Name
Last Name
Is all contact info the same (phone number, email, address, etc.)? If no, please specify.
Has the dancer had any new/changing medical diagnosis? If no, please type "none."
*
Emergency Contact Name (must be someone other than primary contact):
*
Emergency Contact Phone Number :
*
Please enter a valid phone number.
Dancer's Shirt Size:
*
Children's Small
Children's Medium
Children's Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2X
Adult 3X
Is there a specific buddy you would like your dancer to be paired with this summer (please note that this is not guaranteed but we will do our best)?
Is there anything else you'd like to share with the directors and staff of ACTD?
Submit
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