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Debbie Allen Dance Academy

Student Information
Group Division: Level:
First Name: Last Name:
Date of Birth: Current Age:
Height (F-I) Weight lb. Eye Color Hair
Student Cell# Student E-Mail:
Returning DADA Student? Previous group placement?
                                                           
Parent or Guardian Information
  Full Name  
  Address:
  City:
  State:
  Zip:
Home Phone: Cell: Work #:
Parent Employer: Position:
  Parent E-Mail***
***(this is critical information as most updates are sent through e-mail)
Second Parent or Guardian
  Full Name  
  Address: ONLY IF DIFFERENT
  City:
  State:
  Zip:
Home Phone: Cell: Work #:
Parent Employer: Position:
  Parent E-Mail:
                                                         
Students Current School
Name of Current School Location (city) 
Type of Schooling   Current Grade GPA
Years of previous training How many hours a week do you dance now?
Major Training was in?
Present dance school?
How did you hear about the academy:
Person responsible for tuition:


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