Below is the Competition Team Contract at the Alma Dolores International Dance Centre.

Date: _______________________

Student’s Name: _____________________________________________________________

Parent’s Name (if under 18): ____________________________________________________

Age: ______________ Birth date: ________________ / _______________ / _____________

Address: ___________________________________________________________________

City: ___________________________________ State: ______________ Zip: ____________

Home Phone: __________________________ Work Phone: ___________________________

Cell Phone: __________________________________________________________________

E-mail Address: _______________________________________________________________

Emergency Contact: ____________________________________________________________

Emergency Phone Number: _______________________________________________________

How did you hear about us? ______________________________________________________

I understand that my placement on the competition team obligates me to attend each competitive performance undertaken by the Alma Dolores International Dance Centre. The exception to this will be illness, family emergencies, or other similar situations and will be coordinated with the director and/or instructors.

Student’s Signature (parent if under 18): ___________________________________________

Date: __________ / __________ / __________