Burlesque Incubator - Intake Form

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Tell us about yourself and what you are hoping to achieve

First Name *

Performer Name *

Email *

Are you a part of a troupe?

Yes

Clear selection

Are you looking for help with solo or group choreography? *

Solo

Group

Both

Other:

Select all that you are interested in learning: *

Music Interpretation

Building a portfolio

Rebranding my burly identity

Creating diversified offerings

Stage assessment

Crowd and audience management

Getting tools to be more inspired

Putting more dance in my routines

Exploring new genres

Just general learning overall

Required

Tell us about the challenges you often face when creating a new routine: *

What is your Paypal name if different from your Facebook name (So we can track payment)

Which payment option will you be going with:

Pay as you go

One time

Not sure yet

Clear selection

I am aware that I will need a device to be able to connect with via video chat.(Phone, Ipad, computer, etc). *

Yes

Submit

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