Fox Cities Dance Academy

For Youth Development | For Health Living | For Social Responsibility
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FAQ
Your Contact Information
 
To help the HOTVY dance coordinators to best contact you with important FCDA information during the 2010 - 2011 dance season, please provide us with your data:
 
Dancer's last name *
Dancer's first name
Dancer's birth date MM/DD/YY
Dancer's age as January 1, 2011
Parent's name(s)
Street / City / ZIP
Primary Contact # (920-XXX-XXXX)
Secondary Contact # (920-XXX-XXXX)
Primary email address
Secondary email address
Parent's Name # 2, if applicable
Parent # 2 Street / City / ZIP
Parent # 2 primary contact # (920-XXX-XXXX)
Parent # 2 secondary contact # (920-XXX-XXXX)
Parent # 2 primary email
Parent # 2 secondary email
Select Yes or No if you like to set-up an appointment to be considered for a scholarship for the 2010-2011 season
No
Yes
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