Student's Name:
Date of Birth / Age:
Street Address:
City/State/Zipcode:
Telephone No:
Email:
Parent's Name:
Parent's Tel:
____________________________________________
Which campus will you be attending - Norristown
or Philadelphia:
Norristown
Philadelphia
Which adult classes are you interested in:
(scroll down)
African
Ballet-Beginner
Ballet-Intermediate
Lyrical-Beginner
Lyrical-Intermediate
Liturgical-All forms
Liturgical-Intermediate
Flags
Interpretive
Mime
Which youth classes are you interested in:
(scroll down)
Ballet-Beginner
Ballet-Intermediate
Flags
Lyrical-Beginner
Lyrical-Intermediate
Liturgical-All forms
Liturgical-Intermediate
Tap-Beginner
Tap-Intermediate
Are you interested in CCD's Dance Assistant
Training:
YES
NO
Please describe your previous dance training/ministry
experience:
