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Young dancers should not diet. 2017 Summer Program Registration Due June 1 2017 Please mail this application and a 100 non refundable deposit or full tuition to Ithaca Ballet PO Box 4341 Ithaca NY 14850 Name of dancer Gender Primary address City State Home phone Cell/Work phone Birth date Age Zip Email Name of Parent s Address if different from above Previous dance teacher/school Ballet Years classes p/wk Pointes 6 week session Parent 1 signature Dance Background Jazz Modern Other Which...
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