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A FREE fun & encouraging modern/contemporary dance class for anyone ages 7 & up. We will learn basic dance skills based on Martha Graham Modern technique and other Contemporary dance skills. A short performance with all dancers in the class along with Integrity Ensemble will follow the class. Parents can watch what their dancer has learned in the workshop.
Event:
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Fee per Student:
Room:
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Family Information
First Name:
*
Last Name:
*
Type
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Doctor/Physician
Father
Grandparent
Guardian
Mother
Other
Parent
Step Father
Step Mother
Home Phone:
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Work #:
Email:
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(Emails are kept confidential)
Address:
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City:
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State:
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Zip:
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Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities (Please put NONE if none):
Allergies (Please put NONE if none):
Medications (Please put NONE if none):
OK to give Tylenol 500mg?:
*
OK to give Advil 200mg?:
*
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities (Please put NONE if none):
Allergies (Please put NONE if none):
Medications (Please put NONE if none):
OK to give Tylenol 500mg?:
*
OK to give Advil 200mg?:
*
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities (Please put NONE if none):
Allergies (Please put NONE if none):
Medications (Please put NONE if none):
OK to give Tylenol 500mg?:
*
OK to give Advil 200mg?:
*
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities (Please put NONE if none):
Allergies (Please put NONE if none):
Medications (Please put NONE if none):
OK to give Tylenol 500mg?:
*
OK to give Advil 200mg?:
*
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities (Please put NONE if none):
Allergies (Please put NONE if none):
Medications (Please put NONE if none):
OK to give Tylenol 500mg?:
*
OK to give Advil 200mg?:
*
Additional Information:
Other Questions/Comments:
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