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Blazette Tryout Form: June 16th-18th, 2020 5:30-7:30pm
By submitting this form you are stating that both dancer and parent have read and understand the tryout information and parents are giving permission to tryout for the Burnsville Blazette Dance Team.
First Name *
Last Name *
Which team are you trying out for *
What grade will you be in during the 2020-2021 school year? *
If in middle school please select the school you attend (2020-2021 school year)
During the 2019-2020 school year I have attended school OUTSIDE of District 191 *
Birthday *
MM
/
DD
/
YYYY
Address *
City *
Zip Code *
Mother's Name *
Mother's Phone Number *
Mother's Email *
Father's Name
Father's Cell
Father's Email
Dancer Cell Phone *
Dancer Email *
Emergency contact (name and phone) *
Other than your immediate guardian, who can we contact between 3:30-5:45pm in case of emergency?
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