Dance Class Registration
Sign up your child for our "Differently Abled" dance class— share the details we need to get started!
Parent's Full Name
*
First Name
Last Name
Parent's Email Address
*
example@example.com
Parent's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Child's Full Name
*
First Name
Last Name
Child's Age
*
Is your child available for dance class on Mondays at 5:30?
*
Yes!
No
Has your child expressed interest in dance?
*
Yes!
Somewhat
Not really
Can a caregiver commit to getting your child to class every week?
*
Yes!
No
Is a caregiver available to help their child during class, if assistance is needed?
*
Yes!
No
Nature of Child's Disability
*
Are there any specific accommodations or needs we should be aware of? How can we best teach your child?
*
Register
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