Pominville Dance Project Dancer Interest Form
This form is used to gain information about the interested dancer's needs and availability. 
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What is your (the dancers) full name? *
If you are a parent filling out this form, please list your name below. 
How old are you (the dancer)? *
Where are you located? *
What style(s) of dance would you like to work with? *
Please list the program(s) you are interested in. (Ex.- solo lessons, group classes, choreography classes, technique classes, etc.) *
How would you like to have lessons?  *
If in the question above you selected anything EXCEPT personalized video series, what does your availability look like? (PDP classes are generally held Thursdays-Sundays throughout the school year, but other dates/times can be arranged.) *
If you would like choreography to be used in a performance of some type, please expand on that below.
In your opinion, what is your current skill level? (Ex. - beginner in ballet, advanced in jazz, etc. Be specific if you can!) *
What would you most like to see improve in your dancing? (Ex. - I would like to improve on emotional execution, flexibility, my non-dominant side, etc. Again, be specific! This helps Miss Kayleigh tailor classes to fit YOUR individual needs, making it more beneficial for you.) *
What is your email address? (Or your parents email address if you are under 18)
If you have any questions or comments for us, please feel free to share them below! You can also contact us at kayleighpominville1@gmail.com, or reach Kayleigh at 845-797-3701.  *
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