INCLUDE Registration Winter 2019
INCLUDE is a dance workshop designed specifically for children with special needs such as autism spectrum disorder and related disabilities. The class runs Saturdays from 9-9:45am between January 19th-March 2nd, 2019. All new and returning students should complete the form below. A link to payment will be provided after your form is submitted.

NEW this year!

- To simplify our registration process, we will just have one registration form and payment for all ages 6-18. During the session, there will be two classes that run simultaneously, a "younger" class and an "older" class. A few days before the session begins, we will let you know which room to go to when you arrive!

- A link to the online payment is at the end of this form. Please complete the form, even if you have already done so in the past. If you have been to our INCLUDE class many times before, don't worry about too many details (except the basics!) unless something has changed. If you are new to us, the more details the better! We review these forms carefully with our teachers before each session so that we can make sure to give your student the best experience possible!

Email address *
Child's First and Last Name *
Child's Age *
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? One on one assistance is available in each class, is this something your child will need? *
Is there anything else that will help your child have a great time in INCLUDE?
Parent/Guardian #1 (First and Last Name) *
Parent/Guardian #1 Cell Phone *
Parent/Guardian #2 (First and Last Name) *
Parent/Guardian #2 Cell Phone *
How did you hear about INCLUDE? *
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. *
NEW! The class fee for the 2019 Winter Session is $42. Please copy the link below into your browser to be directed to our online payment portal. *
A copy of your responses will be emailed to the address you provided.
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