Dance & Movement Registration 2024
1. Fill out this form and SUBMIT
2.  You will receive a PayPal invoice via email within a week of your registration. 
3. PAY for the workshop.
         *A $100 deposit is required if not paying in full. (If your school is paying, we will refund your deposit once we receive the school payment.)
         *By Check (preferred method) payable to: Dance & Movement Workshop and mail check to:
Dance & Movement Workshop
C/O Joyce Jackson
5151 Sumac Ridge Dr.
Yorba Linda, CA 92886
*By Credit Card (PayPal fees will be added to your registration costs)
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Email *
You can register for our workshop only, or our workshop and a day of curriculum writing/ planning.  Fees for the workshop include participation in:  2 opening day master classes, 4 daily classes, daily share sessions, Artist in Residence evening concert, and banquet attendance, and access to our Google Drive with resources and videos of all classes.  Registering for the workshop and curriculum working/planning will have an additional fee. 
WORKSHOP ONLY:  $700 before 5/31, $750 after
WORKSHOP & CURRICULUM WRITING/PLANNING:  $750 before 5/31, $800 after 
First Name *
Last Name *
Phone Number  *
Home Address *
I teach the following:  *
What types of dance do you teach?  *
Name of school(s) where you teach (write "none" if retired) *
Address of school(s) where you teach (write "none" if retired) *
Have you been to Dance & Movement before?  *
If this is your first time to Dance & Movement, how did you hear about us? 
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