Vogler Dance Studios Student Information Sheet
Student complete name:___________________________________________
Year, month, and date of birth ______________________________________
Grade in School as of September 1st. ____________
School Name ___________________________________________________
Does your child have any chronic physical ailments, medical restrictions, or other special considerations that we should know of? If yes, please be specific. _____________________________________________________________________________
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Person responsible for paying tuition ___________________________________
Mother’s complete name ___________________________________________
Address ________________________________________________________
City and Zip code _________________________________________________
Home Phone ___________________ Work Phone _______________________
Mother’s place of employment ________________________________________
Cell Phone ____________________ e-mail _____________________________
Father’s complete name _____________________________________________
address _________________________________________________________
City and Zip ______________________________________________________
Home phone ___________________ Work phone ________________________
Father’s place of employment _________________________________________
cell phone ____________________ e-mail ______________________________
Person responsible for transportation if other than parent. Please include phone number
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Please list a relative or neighbor that I can call in case of an emergency.
______________________________________________________________________________
If your child has studied dance, baton twirling, or gymnastics at another school other than Vogler’s Studio last year please tell me where and try to give me some indication of what subjects she has studied and for how long.
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