empower ME COLLEGE TEAM/PROGRAM CONSULTING INTEREST FORM

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empower ME COLLEGE TEAM/PROGRAM CONSULTING INTEREST FORM

Thank you for your interest in empower ME College Consulting. A customized, comprehensive personal development plan and seamless gateway for dancers seeking their next pathway after high school in dance. Please fill out this form and a consultant will contact you.

DANCER NAME *

DANCER EMAIL *

DANCER PHONE NUMBER *

BIRTHDATE *

YYYY

AGE *

GRADE *

6TH

7TH

8TH

9TH

10TH

11TH

12TH

Other:

PLEASE CHECK THE BOX(ES) OF THE CONSULTING PROGRAM(S) YOU ARE INTERESTED IN:
*

HIGH SCHOOL DANCE TEAM CONSULTING AGES 11-14

COLLEGE DANCE TEAM CONSULTING AGES 15-18

SUMMER INTENSIVES CONSULTING AGES 11-16

COLLEGE/CONSERVATORY DANCE PROGRAM CONSULTING AGES 15-18

POST HIGH SCHOOL OR POST COLLEGE PROFESSIONAL CONSULTING AGES 17-22

Required

COMMENTS OR QUESTIONS

PARENT NAME *

PARENT EMAIL *

PARENT PHONE NUMBER *

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