Kiwis Winter Concert Participation Form 2019 (Ages 4-5)
Your class will be performing in Keshet’s Annual Kiwis Winter Concert
In order to participate you must be able to do the following:
1. Fill out and submit this participation form by November 1st
2. Attend the FULL rehearsal and performance schedule
Saturday December 7th
1:00pm: Dancer Call
1:00pm -4:00pm: Closed rehearsal with dancers (includes breaks & snack times)
4:00pm: Kiwis Performance
The Kiwis Winter Concert will be held at the Keshet Center for the Arts Black Box Performance Space.
Tickets are available at the door only. While there is no set ticket price, there is a suggested donation of $6 - $10 per ticket, but any donation will do – larger or smaller.
For the dancers’ safety, flash photography is not permitted. Videography will be permitted for the Kiwis showing ONLY.
Costumes should be provided by the dancer. Your teacher described the costume for your class on the next page. If your family does not have a specific costume piece, Keshet will provide it. Families should not feel pressure to buy costumes. There are no costume fees, although there is a $10.00 refundable costume deposit. A form is included in the packet you received and may also be picked up at the front desk. Your dancer may either wear their costume when they arrive at the theater for their dress rehearsal/performance day or bring it with them.
As the dancers will be working hard during rehearsals and performances, please bring healthy snacks, and a water bottle. A microwave will be available to the dancers and periodic breaks will be provided. Consider bringing a snack to share with the rest of the cast.
Healthy Snack Options:
Fruit Applesauce Luncheon Meat
Vegetables Dips Crackers
Rice Cakes Popcorn Baked Tortilla Chips
Granola and Cereal Bars Yogurt Low-Fat Cheese
PLEASE DO NOT BRING: Snacks containing peanuts or peanut butter due to allergies. Pizza, Chips, Cookies, Brownies, Birthday Cake, Fried Foods, Soda Pop, Chocolate, Fast Food, Really, Messy Food. Unhealthy snacks will be confiscated and eaten by staff.
Student's First Name
Student's Last Name
Parent Guardian 1 First and Last Name
Parent Guardian 1 Phone Number
Parent Guardian 2 First and Last Name
Parent Guardian 2 Phone Number
Parent Guardian 2 E-mail
Please select the class(es) you will be performing with:
Wednesday 4:00pm Hip Hop 4-5yo with Sophia
Friday 3:30pm Ballet Basics 4-5yo with Sadie
Saturday 9am Ballet Basics 4-5yo with Alana
Saturday 9:45 Jazz 4-5yo with Alana
Please identify any physical disabilities, restrictions, conditions, or illnesses which might require medical attention, impact student participation in classes, or be useful for staff to bear in mind: *
If there are restrictions regarding who CANNOT pick up your student, please list them here OR contact Ana Lopes Aréchiga, Community Education Director,
Are you able to provide your own costume? (If you need assistance please contact Diana MacNeil
No -- Please make your refundable costume deposit payment to the Front Desk
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service