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BITB Registration Form 2012

BITB Registration Form 2012

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Published by Aline Bahamondez

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Published by: Aline Bahamondez on Sep 04, 2012
Copyright:Attribution Non-commercial

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09/04/2012

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 Name:
FirstLast
Birth Date:Sex:Parent/Guardian Name:Home Phone:Cell Phone:Work Phone:Address:Email Address:Emergency Contact Name:Relation:Emergency Contact Phone Number:MF
MMDDYY
Voice Type:SopranoBassAltoTenorBaritone
(circle one)(circle one)
Rate your prociency level:
 
1 = Beginner 2 = Intermediate
3 = Advanced
(circle one for each category)
Dancing:Acting:Singing:1 2 31 2 31 2 3
CityStateZip CodeStreetApt. #
List years studied for each:
 
ActingSingingDancing
FirstLast
 Ratings and experience will provide instructors the ability to assess your audition and class placement. Please be honest!
Today’s Date:
MMDDYYLastFirst
 All classes will take place in the studios of The Art Underground and Dana V. Music, 901 Front Street, Louisville, CO.
Age:
(As of 7/30/2012)
Bring It To Broadway Registration Form
Page 1
 Dana V Music * Mailing Address – 901 Front Street, Suite B150, Louisville, CO 80027 * (303) 974-5586 * www.danavmusic.com
Make checks payable to: Dana V Music
Registration Deadline: July 1, 2012
Mail Registration Form, Tuition Form and Payment to:
Dana V. Music, 901 Front Street, Suite B150, Louisville, CO 80027

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