Adapted Dance Off-Site Registration 2022-23
Adapted Dance - Offsite takes existing Houston Ballet Education and Community Engagement programs and adapts them to populations with special needs/disabilities: such as down syndrome, autism, and the like. Our specially trained staff partners with schools, hospitals, and other organizations to create a program specifically designed for your students.
Adapted Dance - Off-Site is perfect for your SLC, SLL, and SPED classes.

• This is a FREE program.
• Class length will vary depending upon student needs.
• Campus teachers are expected to maintain class management and attendance.
• Requests are filled on a first come, first served basis, and are subject to availability.
• You will be contacted to confirm date, time and number of sessions.

*We cannot guarantee the exact schedule you request, but we will do our best to book something as close as possible.

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Email *
LOCATION INFORMATION
Is your school or organization part of any of the initiatives or partnerships listed below? *
(Please check all that apply)
Required
Full name of school or organization *
No initials please. (i.e. Jane Doe Elementary)
Street Address of the school or organization *
City *
State *
Zip Code *
School District
If applicable
PRIMARY CONTACT INFORMATION
Full Name *
First & last
Title *
(i.e. Teacher, Principal, etc.)
E-Mail *
Double check that this is not misspelled.
Direct Telephone Number *
SECONDARY CONTACT INFORMATION
We will contact this person if the primary contact is unavailable.
*If you are not the class instructor, please include their contact information below.
Full Name *
First & last
Title *
(i.e. Teacher, Principal, etc.)
E-Mail *
Double check that this is not misspelled.
Direct Telephone Number *
PROGRAM INFORMATION
Grade Level or Age Range *
Number of Students *
*Maximum of 15 students per class.
What special needs/disabilities is your school, program, or organization addressing? *
What month/s are you interested in receiving classes? *
Please select all that apply. We will do our best to accommodate.
Required
What day(s) do you prefer? *
Check all that apply. We can see students up to 2x a week.
Required
What time do you prefer we start class? *
Please be specific, ex. 9:00 AM-12:00 PM and include as many times as possible.
Would you like to add any notes that can better assist us with booking your request?
(i.e. Times/dates that won't work; Specific class accommodations;  your schedule if your school uses block scheduling)
Would you like to be enrolled in the Education and Community Engagement e-mail list? *
A copy of your responses will be emailed to the address you provided.
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