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905.829.4566 | info@canadiandancecompany.com

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Canadian Dance Company

When Dance Becomes Art

Registration Form

Returning Student New Student

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Student Information

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Age

D.O.B

Address

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Province

Postal Code

Home Phone

Student Email

Student Cell Phone

Academic School

Grade

Training

Place of Study

# of years

Jazz

Tap

Ballet

Pointe

Contemp

Hip Hop

Acro

Mother's Information

Name

Home Phone

Cell Phone

Work Phone

Work Place

Mother's Email

Father's Information

Father's Name

Father's Home Phone

Father's Cell Phone

Father's Work Phone

Father's Work Place

Father's Email

Medical Information

Emergency Contact

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Phone

News & Events

TOKYO & ADE INTENSIVE
March 13th-15th

First Year Boys 50% Off
June 20th, 2011

NEW Classes And Programs
September 10th, 2011