Central Pennsylvania Youth Ballet Alumni Information Question Title * 1. Name First Name Last Name Maiden Name/Last Name while at CPYB Question Title * 2. Date of Birth MM/DD/YYYY Date Question Title * 3. Current Contact Information and Mailing Address Address 1 City/Town State/Province ZIP/Postal Code Country E-mail Phone Number Question Title * 4. Business Address Title Name of Company/Organization Address 1 Address 2 City/Town State/Province ZIP/Postal Code Country Question Title * 5. CPYB Information When did you attend CPYB? Please give us the start and end years (ex: 1960-1975) What is the highest class level achieved during your time at CPYB? Did you attend CPYB Summer Courses? If yes, please tell us the years you attended. Question Title * 6. Are you currently dancing professionally? If yes, please tell us the company and the position you hold. Question Title * 7. Please list any companies you have danced with professionally, the position held and the years you were there. Company 1 Company 2 Company 3 Question Title * 8. Please share any other personal or professional news/comments with us here. Question Title * 9. Would you like to be invited to join our CPYB Alumni Group on Facebook? Yes No Question Title * 10. Would you allow CPYB to use any part of these answers in any of our promotions? Yes No Done