Application for MINI MIX'D VIRTUAL INTENSIVE Fall 2020
Please fill out the application. All questions with * are required

FREE 10-week Mini Mix'd Virtual Dance Intensive for girls of color from Sept-Dec, 2020

- Age 13-17 years old
- Live in the United States
- Must have at least 2 years of dance training
- Want to connect, inspire and build with other young female leaders

- Virtual dance classes with me and other guest artists
- Sessions will take place over Zoom on Sundays from 11-2pm
- Additionally, other weekly skill building activities including wellness, goal setting, entrepreneurship, etc.

Thank you!
Have more questions? Call Jenay at 510-301-2486 or Email

Parent Name *
Parent Email *
Parent Phone Number *
Daughters Name *
Daughters age *
City and State of residence *
Ethnicity (select all that applyl)
What is your daughters dance experience? *
Do you have access to wifi and a computer/laptop for class? *
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