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Choreography Service Request Form
* Indicates required question
Email
*
Your email
Name (First, Last)
*
Your answer
Phone number
*
Your answer
What service do you need?
*
Dance Perfomance
Dance Choreography
Required
Event date
*
MM
/
DD
/
YYYY
What kind of event?
*
Birthday
Wedding
Church service
Other:
Is your event indoors or outdoors
*
Indoors
Outdoors
Required
Is there a theme? (Title/Color)
*
Yes
No
Required
Do you have a song request/ selection(s)?
*
Your answer
Performance location
*
Your answer
Number of dancers
*
Your answer
How many sessions would you like?(2 Hours each)
*
1- $90
2- $180
3- $270
4- $ 360
Other:
When are you available for a session? (Dates/times)
Your answer
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