Young Dancers Program Dorchester Enrollment Application

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Student and Parent/Guardian InformationStep 1 of 4

Student Information

Student Name
Date of Birth
Students must be 3 years of age by 9/1/2023 to participate in the 2023-24 Young Dancers Program.
Optional
Home Address
Select One:

Parent/Guardian I Information

Parent/Guardian Name
Email
Address
Would you be interested in volunteering with José Mateo Ballet Theatre?

Parent/Guardian II Information

Parent/Guardian Name
Email
Address
Would you be interested in volunteering with José Mateo Ballet Theatre?

Emergency Contact Information

(other than Parent/Guardian)
Emergency Contact Name

Additional Information