Dance Line Questionnaire

Full Name: E-mail Address:  
Home Address: City, State and ZIP: Phone #:
Birth Date (MM/DD/YYYY):    
High School: Graduation Date: ACT or SAT Score:
Years in Dance Where at? Experience:

Please type "yes" or "no" accordingly beside each of the following skills:

List any other dance skills:

List any honors or awards you have received in dance:

What do you plan to study in college?

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