Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please indicate your race-ethnicity(ies) *

Select all that apply. Gathered for grant reporting purposes.

American Indian or Alaska Native (e.g. Navajo Nation, Blackfeet Tribe, Catabwa)

Asian or Asian American (e.g. Asian Indian,Chinese, Filipino, Japanese, Korean , Vietnamese)

Black or African American (e.g. Dominican, Ethiopian, Haitian, Jamaican, Nigerian)

Hispanic, Latino, Latina, or Latinx (e.g. Colombian, Cuban, Dominican, Guatemalan, Mexican, Mexican American, Puerto Rican, Salvadoran)

Middle Eastern or Northern African (e.g. Lebanese, Iranian, Egyptian, Syrian, Moroccan, Algerian)

Native Hawaiian or Other Pacific Islander (e.g. Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, Marshallese)

White (e.g. Irish, Italian, French, German, or a mix of such)

Some other, race, ethnicity, or origin

I prefer not to answer this question

Birthdate *

MM

DD

YYYY

What is your level of dance experience? *

New to Dance

Studio Training

College/University

Professional Dancer

Please your classes. Choose all that apply. *

Time is EST

9:00 AM - Beg/Int Ballet with Alyce Vallejo (In-person)

9:00 AM - Adv Ballet with Sunny Hwang (In-person)

9:15 AM - Open level Ballet with Ursula Verduzco (Zoom)

10:30 AM - Open level Latin Social Dance with Wendy & Rodrigo Jimenez (In-person or Zoom)

11:45 AM - Beg/Int Modern, Horton with Dominique Willis (In-person & Zoom)

12:00 PM - Int/Adv Modern, Graham with Lorenzo Pagano (Zoom)

1:15 PM - Int/Adv Modern: Graham technique with Blakeley White McGuire (In-person)

2:30 PM - Open Level Classical Indian Dance, Odissi with Kaustavi Sarkar (In-person & Zoom)