Student Registration Form
Deadline January 12, 2007

 

Name of School ________________________________________________

 

 

Name of Teacher/s in charge ______________________________________

 

 

Last Name_________________ First Name ________________ M.I. _____

 

 

Street Address _________________________________________________

 

 

City____________________________ State____________ Zip__________

 

 

Telephone Number _____________________________________________

 

 

E-mail Address_________________________________________________

 

 

Date of Birth __________________________________________________    

 

 

Parent or Guardian Signature _____________________________________

 

 

 

CFB Dance Exchange
 

Host Campus: Newman Smith High School Directors of Dance: Tamara Coalson & Dawn Valentine 2335 N. Josey Lane Carrollton, TX 75006 972-968-5289 Fax # 972-968-5210

Co-Host: Creekview High School Director of Dance: Ronelle Eddings 3201 Old Denton Road Carrollton, TX 75007 972-968-6706 Fax # 972-968-4810