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We are excited you were selected to be a part of HTEDance Academy! To help us stay in touch with you, please complete the information below.
Student Information
School Name
*
Director Name
Student Name
Birth Date
+
Grade
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Address 1
*
Address 2
City
*
State
*
Zip
*
Student Home Phone Number
*
Student Cell Phone Number
*
Email Address
*
Camp where you made academy
*
Select all that apply
*
Kick Academy
Dance Academy
*
Please check this box if you would like more information regarding HTEDance Academy trips.
Parent Information
Relationship to Participant:
Self
Mother
Father
Guardian
Other
Other
First Name
Last Name
Phone
Relationship to Participant:
Self
Mother
Father
Guardian
Other
Other
First Name
Last Name
Phone