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Dance grams are here! In order to stay a little greener, we have decided to switch to only digital programs. However, we didn't want to get rid of dance grams, so we have decided that all money received from dance grams will be donated to our favorite charity Rescue Kitty! The following types are available: 3 line dance gram ($5) Business Card Ad ($10) Half Page Ad ($40) and Full Page Ad ($70). Because we are doing digital programs, the ads will be in full color! For Half and Full Page ads, you may either send a fully designed page, or send pictures and text and we will design the page. Please fill out only one form for multiple dance grams and include how many you would like and what type in your form. We will only have one program for all 3 shows, so no need to pay for multiple shows. After you submit this form, an automatic $5 charge will be added to your account. This will be updated once we process your form and the charge will be put through for your gram.
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
*
Type
*
Caregiver
Father
Guardian
Mother
Parent
Self
Home Phone:
Cell #:
Work #:
Email:
*
(Emails are kept confidential)
Address:
*
City:
*
State:
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NC
ND
NH
NJ
NM
NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
*
Students entered below will be added to your family's account
Add New Student #1:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non Binary
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non Binary
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non Binary
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non Binary
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non Binary
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave blank if NONE):
Questions/Options:
Dancer's Name
*
Type of Dance Gram (3-line: $5, Business Card: $10, Half Page Ad: $40, Full Page Ad: $70). If purchasing more than one, please label each one in the text box below.
*
Text of Dance Gram. For Half and Full Page Ads or to add a business card, please email pictures/text to jdo5678@comcast.net.
*
Additional Information:
Other Questions/Comments:
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