Ballroom Registration

Student Information

Student Name*

First Last

Gender*

Lady
Man

Grade Level this Fall*

At this time, due to ratios, all ladies must recruit a man to guarantee a spot on the team.

If you have recruited a man to signup, enter his name:

Which middle/junior high school are you attending this fall?*

Oak Canyon
Canyon View

Share your info for carpooling?*

Students and their parents are responsible for obtaining transportation to Oak Canyon for class.

Will you allow Ms. Michelle to share your contact with other parents who are attempting to arrange carpools and rides?

Student Birthday*

Student School Email*

(example: something@alpinesd.org)

Guardian/Parent Name 1*

First Last

Guardian/Parent 1 Phone*

Guardian/Parent 1 Email*

We will communicate weekly by email, to save on copy costs.

Guardian/Parent Name 2

First Last

Guardian/Parent 2 Phone

Guardian/Parent 2 Email

Other Guardian/Parent?

Yes

Guardian/Parent 3*

First Last

Guardian/Parent 3 Phone*

Guardian/Parent 3 Email*

Another Guardian/Parent?

Yes

Guardian/Parent 4*

First Last

Guardian/Parent 4 Phone*

Guardian/Parent 4 Email*

In Ballroom last year?*

Yes
No

Ballroom Registration

Student Information

More Student/Guardian Info

Please note: If you are cast in the play or participate in a sport, you will still need to attend Ballroom on Mondays and Wednesdays. Contact Ms Michelle if you are cast or playing sports.