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Ian Poulis ARTISTIC DIRECTOR NAME PARENT / GUARDIAN NAME Fabiana Fadlala-Poulis BALLET MISTRESS STREET ADDRESS SUMMER INTENSIVE FACULT Y Denise Hansen Kathryn Hollandsworth Carole Krohn Diane West CITY STATE ZIP HOME PHONE PARENT EMAIL STUDENT EMAIL BIRTHDATE / YEARS OF TRAINING BALLET CELL PHONE BALLET LEVEL FEMALE MALE Wendy Thomasson EXECUTIVE DIRECTOR POINTE OTHER DANCE SCHOOL CIRCLE WEEKS ATTENDING 1 2 3 YOUTH PAYMENT ENCLOSED CHECK PAYABLE TO PEORIA BALLET CREDIT CARD 3 DIGIT CV V CODE...
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Fabiana Fadlala Poulis form is a specific document used for reporting financial information.
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