Invitation to Belonging - Intake Form
There is no fee for this program.
To register, participants must complete the Invitation to Belonging Intake form.
Email address *
Participant Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Participant's Mailing Address
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Participants E-mail address *
Your answer
Phone Number *
Your answer
Organization Affiliation (if applicable)
Your answer
Parent/Guardian Information
Parent/Guardian Name *
Your answer
Mailing Address *
Your answer
Email *
Your answer
Phone Number and/also Emergency Contact Number *
Your answer
The following questions are to be answered by the participant.
Describe your experience in the arts: *
Your answer
Please list 2 personal goals for the week of Invitation to Belonging? *
Your answer
Are there any specific art practices or ideas that you are eager to explore this week? *
Your answer
Is there anything else you want us to know about you? *
Your answer
How did you hear about the Young Dance Invitation to Belonging? *
Your answer
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