Verge Dance Collective Membership Form
Sign up to become a member of Verge Dance Collective for one year
Email address *
Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Address *
Your answer
Best way to contact you
Interested in.... *
Previous Dance Experience *
Your answer
Short Dancer/Artistic Bio for use on Members page of Website *
Your answer
Pay Membership Fee here (Our Fractured Atlas Donations page will open in a new window! Remember to return to submit your form):
Please follow the link above to our Fiscal Sponsorship page to submit your $25 Membership Fee
Membership paid on: *
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