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-This form may only be submitted under the supervision of a NDADD Coach-

This form must be submitted by January 1.
Verification emails must be responded to within
5 days to keep the application active.

Please use the tab key to guide through fields. The enter key may submit the form prematurely.
School Information:
Team Name:    
School Name:    

Coach's E-mail :  
May be used for verification

 
Coach's Name :    

 

Applicant Information:
Name  
Home Address
with City, State, ZIP
 
Number of years participated in dance line   out of possible years.
Grade Point Average  
Principal's Email:  
May be used for verification
 
Principal's Name  

 

School and community activities:
Please list all activities and all leadership roles in these activities.


Dance Experience :

Future Plans :
Please give a detailed summary of your future plans.

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