Dancin Power Youth Program Application
Once you have entered your information here, our team will review the information and be in touch.
* Required
Email address
*
Your email
Contact information
First Name:
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Your answer
Last name
*
Your answer
City
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Your answer
State
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Your answer
Phone number
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Your answer
E-mail
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Your answer
Preferred contact method
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Email
Text
Phone Call
Required
Tell us what is your time zone
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Alaskan Standard Time (AKST)
Atlantic Standard Time (AST)
Central Standard Time (CST)
Eastern Standard Time (EST)
Mountain Standard Time (MST)
Pacific Standard Time (PST)
Other:
Required
How did you hear about Dancin Power? Was it through Facebook, Instagram, Twitter, LinkedIn, a friend, Google search or other? Would you please let us know? Your feedback will help us improve our awareness.
Your answer
Would you please tell us more about your connection with dance and health?
1- How many years of dance experience do you have? (numbers only please)
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Your answer
3- What are the dance styles you have trained so far?
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Ballet
Jazz
HipHop
Modern
Tap
Contemporary
Flamenco
Ballroom
West African Dance
Bollywood
Classical Indian Dances - Kathak, Bharatanatyam
Traditional Dances from a specific county? Please select the box "other" below to tell us the name of the dance styles and its country of origin:
Other:
Required
4- Which Dancin Power Youth Program are you interested in applying for today?
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Dancin Power Teen Ambassador
Dancin Power Jr. Teacher
Other:
4- Tell us the main reason you're applying today:
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Your answer
5- To be a Dancin Power Teen Ambassador, or a Dancin Power Jr. Teacher, we ask that you please make a commitment to devote 2+ hours per month to the program. Are you going to be able to do that? If yes, please initial below and ask one parent to do the same.
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Your answer
6- What other languages do you speak, if any?
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Your answer
7- What is your nearest children's hospital?
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Your answer
8- If selected to the Dancin Power Youth Programs, there is a 1-Year Commitment Requirement. Please ask your parents to type their name and date below to confirm their understanding on what it means to commit to the uphold agreement. *Parents authorization required.
*
Your answer
If you feel that we forgot to ask you something that you'd like us to know about you, please enter your question and answer below.
Your answer
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