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Hanley Dance Returning Student Pre-Registration
The Pre-Registration Form is intended to help instructors plan the schedule for the upcoming dance season. We ask that you fill out the form as accurately as possible.
After completing this form you will be added to our e-mailing list and receive the new schedule once it is made available.
Parent/Guardian Contact Information
Parent/Guardian First Name
*
Parent/Guardian Last Name
*
Relationship to Dancer(s):
*
Mother
Father
Guardian
Other
Other
Primary Phone #
*
Alternate Phone #
Primary Email Address
*
Alternate Email Address
Mailing Address or Box Number
*
Town
*
Hanley
Dundurn
Kenaston
Davidson
Outlook
Thode
Shields
Other
Other: Town
Postal Code
*
Add Another Parent/Guardian
Additional Parent/Guardian Information
Parent/Guardian First Name
Parent/Guardian Last Name
Relationship to Dancer(s):
Mother
Father
Guardian
Other
Other
Primary Phone #
Alternate Phone #
Primary Email Address
Alternate Email Address
Mailing Address or Box Number
Town
Hanley
Dundurn
Davidson
Outlook
Allan
Thode
Shields
Kenaston
Other
Other: Town
Postal Code
Emergency Contact Information
In the event of an emergency please list an alternate contact. This contact should be someone other than a parent/guardian (ex. friend, grandparent, other dance family)
Emergency Contact Name (first and last)
*
Relationship to Dancer(s):
*
Friend
Family
Grandparent
Dance Family
Other
Other
Primary Phone #
*
Alternate Phone
Primary Email Address
*
Alternate Email Address