IMPACT Winter Workshops Registration

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

Event Date: Sunday, December 17th 2023

Event Address: 4050 Skyron Dr. Unit. D1 Doylestown, PA 18902
Questions? Contact us at (215) 367-2922 or email us at info@impactdancepa.com

Class Times & Teachers:

Jocelyn Mastro - Contemporary @ 12pm-1pm

Sammy Reyes - Hip-Hop @ 1pm (12 & Under) and @ 2pm (13+)

Ryan Bonner - Hip-Hop & Funk Styles @ 1pm (13+) and @ 2pm (12 & Under)

Colleen Dougherty - Jazz @ 3pm & Musical Theatre @ 4pm

*Stephen Casey will no longer be teaching, due rehearsal changes to a professional contract. Break a leg!

Pricing: $10 per class (Impact Dancers)/$15 per class (Public) *Bring a donation to receive $5 off per class!

Dancer Name: *

Parent or Guardian Name (if under 18 years of age) *

Email *

Check Your Dance Class(es): *

12pm - Jocelyn Mastro - Contemporary

1pm - Sammy Reyes - Hip-Hop (12 & Under)

1pm - Ryan Bonner - Hip-Hop & Funk Styles (13+)

2pm - Sammy Reyes - Hip-Hop (13+)

2pm - Ryan Bonner - Hip-Hop & Funk Styles (12 & Under)

3pm - Jocelyn Mastro - Jazz

4pm - Tony Azzaro - OPEN TOY DRIVE CLASS

Required

I understand that I will have to pay upon arrival. Cash, Check & Credit Cards* are accepted. Checks can be made out to Impact Dance & Performing Arts.

*Credit Cards will have processing fees added on.

Yes

Required

By signing my name electronically, I agree to all Impact Dance & Performing Arts Liability Policies, and this acknowledgement is an electronic signature of the attached waiver below. (Please type your name below) *

Impact Dance Waiver PDF. I have read and agree to all terms and conditions in the waiver. *

I Agree.

Required

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of IMPACT Dance Complex. Report Abuse

Forms