2011/2012 SCDC Brochure

Welcome to South Carolina Dance Company’s 2011/2012 Brochure Page

We look forward to having you involved in our studio this year!  This page is designed to allow you to easily view our brochure in a jpeg format.  Or if you wish to print a pdf version of this brochure, Please click here. 2011/2012 SCDC Brochure

If you have any questions, Please don’t Hesitate to contact us.

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Want to register to join South Carolina Dance Company? simply fill out the registration form provided below, and we will contact you by the next business day.  Thank You!

Student's Name

Student's Age

Date Of Birth

Street Address Or P.O. Box

City

State

ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING

Zip Code

Preferred Contact Phone Number

Cell Phone (if the child has one)

Email (if the child has one)

Currently Attending What Grade School?

What Grade Is The Student In?

Years of Dance Experience

Are There Any Known Medical Problems That We Should Know About?

yes

no

If So, Please Explain and list medications

Parent Or Guardian Name

Parent's or Guardian's Preferred Contact Number

Parent's Email Address

Second Contact Name - For Emergencies

Second Contact's Preferred Phone Number

Person Providing Transportation for Your Child

Transportation Person's Preferred Phone Number

If The Person Registering is A New Student, Please Tell Us How You Heard About Us. If You Are A Returning Student Please Enter "Returning Student"

Please Enter The Security Text Shown Here