| Registration Form: Ensemble (Continued B) |
| Inspiration for a Lifetime |
|
| (Page 3 of 3) |
Ballet School/
Ballet Company: |
| 19. Last Name: | First Name: |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
| 20. Last Name: | First Name: |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
| 21. Last Name: | First Name: |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
| 22. Last Name: | First Name: |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
| 23. Last Name: | First Name: |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
| 24.Last Name: | Fist Name: |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
| 25. Last Name: | First Name: |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
| 26. Last Name: | First Name |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
| 27. Last Name: | First Name: |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
| 28. Last Name: | First Name: |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
| 29. Last Name: | First Name: |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
| 30. Last Name: | First Name: |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
Signature: Date:
. |
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