Dance Group Registration
All Abilities Dance Group, Sessions in January-February and March-June 2020.
Email address *
Registration Options
Alternative methods to register: by email (Joanne@CreativeMoment.im) or in person at one of the dance sessions on Monday mornings.

Information submitted using this online form will likely be stored on servers in the USA. If you do not want to use this Google form, please use an alternative method to register.
This form has three parts:
1. Contact Info, 2. Registration Questions, 3. Optional Questions. Then Submit the form.
1. CONTACT INFO
Full Name (of participant) *
Your answer
Phone
Your answer
By checking this box I consent to receiving email updates about dance:
Preferred contact
Emergency Contact: first & last name, and your relationship to them
Your answer
Emergency Contact's phone number *
Your answer
2. REGISTRATION QUESTIONS
Which dates would you like to register for? (check all that apply) *
Required
Do you have any access needs, allergies, or anything else you want us to know?
Your answer
Will you have an attendant or support person with you?
If yes, will they also be participating as part of the group?
The All Abilities Dance Group is sliding scale ($0-$10 per class) based on what you can afford. What fee $ amount are you able to pay each week?
Would you like to register for any of these dance events as well? (check all that apply)
3. OPTIONAL QUESTIONS
What do you hope to experience or gain from this group?
Your answer
Have you previously participated in any dance classes or dance groups? (If yes, describe)
Your answer
Do you have a favourite type of music, rhythm or style for dancing?
Your answer
Do you have any suggestions for where the group's site-specific performance could happen in June? It could be in an accessible building or somewhere outdoors.
Your answer
How did you hear about this dance group?
Your answer
Is there anything else you want to mention?
Your answer
Submit
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