Irise Summer Program

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This year we are offering two sessions June 29-July10 and July 13-July 23. Please indicate which sessions your child will be participating in. // Estamos ofreciendo dos sesiones de programa. Favor de indicar las sessiones

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Section 1: Student Information // Información del Estudiante

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Student First Name // Primer Nombre del Estudiante* This field is required.

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Student Last Name // Apellido del Estudiante* This field is required.

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Gender // Sexo* This field is required.

Male // Macho

Female // Hembra

Non-Binary

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Grade// Grado

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Name of School// Nombre de EscuelaHomeschool students may simply type homeschool.

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Section 2: Primary Parent Information // Información de Padre Primario

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Relation to Child // Relación al niño* This field is required.

Mother // Madre

Father // Padre

Female Guardian // Guardiana Femenina

Male Guardian // Guardiana Masculina

Other

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If Other, please specify relation // Si selecciona 'Otro', por favor indique la relación

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Name // Nombre* This field is required.

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Address//DireccionPlease share your full address// favor de poner su direccion completa

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Cell # // # de Celular* This field is required.

Please enter a valid phone number

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Email // Correo Electrónico* This field is required.

example@example.com

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What is the Primary Parent's preferred language? // ¿Cuál es el lenguaje preferido del Padre Primario?

English

Español

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Section 3: Emergency Contact // Contacto de Ermegencia

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Name // Nombre* This field is required.

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Cell # // Numero de Celular* This field is required.

Please enter a valid phone number

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What should we know about your child? Any hobbies, interests or special qualities?

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What are your expectations or goals for your child while participating in the Irise Dance Summer Program 2026?