| First Name: |
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| Last Name: |
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| Name you were known by at Boston Ballet: |
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| Address 1: |
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| Address 2: |
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| City: |
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| State: |
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| Zip Code: |
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| Country |
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| Phone 1: |
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| Phone 2: |
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| Email: |
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| I primarily identify as an alumni of: |
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| What years were you involved with Boston Ballet?: |
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Would you consider attending an alumni event around the celebration of the 50th Anniversary of Boston Ballet?: |
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Would you like your contact information included in an alumni directory, only available to other Boston Ballet alumni?: |
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The following section is optional. |
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| Please tell us about your affiliation to Boston Ballet and years you trained or danced with Boston Ballet. |
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| Who are the dancers, teachers or fellow students that you remember? |
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What have you been up to since leaving Boston Ballet? Have you continued to dance (professionally, recreationally, as a student), or be involved in the dance world? |
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| Anything else you would like Boston Ballet to know? |
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Do you know other alumni who might want to be in touch with Boston Ballet? Please let us know their contact information. |
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