Dance & Movement Registration 2025

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

HOW TO REGISTER:

1. Fill out this form and SUBMIT

2. You will receive an INVOICE via email after you register.

3. You must PAY IN FULL prior to June 30, 2025.

*By Check 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/Debit card (link will be in the invoice)

Email *

First Name *

Last Name *

Phone Number *

Home Address *

I teach the following: *

K-5 Public or Private School

6-8 Public or Private School

9-12 Public or Private School

Higher Education

Retired

Other:

Required

Name of school(s) where you teach (write "none" if retired) *

Address of school(s) where you teach (write "none" if retired) *

Workshop Date: July 12, 2025

What portion of the day will you attend?

I am registering for the dance classes only. ($75)

I am registering for the banquet only. ($25)

I am registering for the whole event. ($100)

Are you interested in booking a hotel room for July 12 after the banquet? *

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report