| Personal Information |
| *First name: |
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| *Last name: |
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| *Address: |
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| *City: |
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| *State: |
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| Country: |
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| *ZIP code: |
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| *E-mail address: |
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| *Phone number: |
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| Parent(s) or guardian(s) names: |
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Academic Information
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| Major: |
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| High school: |
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| City: |
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| State/province: |
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| ZIP code: |
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| Phone number: |
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| School counselor: |
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| GPA: |
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| Class rank: |
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| *Graduation year: |
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| Other colleges attended (if any): |
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Athletic Information
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| What other varsity sport(s) are you involved in? |
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| Are you currently a member of a dance team? |
Yes No |
| Number of years: |
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Years of dance experience:
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| Squad awards or accomplishments: |
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| Individual dance honors: |
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| Comments, questions or special requests: |
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| Would you like to receive an admission packet? |
Send admission packet
Do NOT send admission packet |
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