WINTER 2018 INCLUDE Registration
INCLUDE is a dance workshop designed specifically for children with special needs such as autism spectrum disorder and related disabilities. Over the arc of seven sessions INCLUDE will focus on bringing children with special needs joy through participating in a dance class designed specifically for them. Participants will demonstrate increased physical awareness, improved sensory processing and integration and new tools for verbal and nonverbal communication. Each session will culminate in an in-studio performance the last 15 minutes of each class for Friends and Family on March 10th in the theme of The Jungle Book. All classes are held at Tri-Cities Academy of Ballet (21 Aaron Drive, Richland). Comfortable fitness attire suggested (leggings, close-fitting tops) and bare-feet or ballet shoes suggested. Before your first class be sure to read our Pre-Vist story to learn about what to expect and to meet your teachers!
Email address *
Child's First and Last Name *
Your answer
Child's Age *
Your answer
Help us get to know your child! What are some of his/her favorite things? Are there any tactile, visual, auditory stimulus that are triggers? Is your child able to participate in a class without one-on-one assistance (this is not a requirement of class participation)? *
Your answer
Briefly explain any dance, theatre, or music experience that your child has had in the past. (Previous experience is not required!) *
Your answer
Parent/Guardian #1 (First and Last Name) *
Your answer
Parent/Guardian #1 Cell Phone *
Your answer
Parent/Guardian #2 (First and Last Name) *
Your answer
Parent/Guardian #2 Cell Phone *
Your answer
Will your child be able to attend each lesson of the workshop? (Attendance each week is important for the group as well as your child's experience) *
How did you hear about INCLUDE? *
Your answer
There will be a photo and video documentation of this workshop. Do you give permission for your child's image to be used in print, web and otherwise? MCB makes no compensation for use of images. *
A copy of your responses will be emailed to the address you provided.
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