Care4Dance Workshop Application

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Our annual dance workshop is need-based to help deserving Central Florida young people pursue their dance ambitions. This is a limited, one-time workshop. We encourage students to please apply to our Aleksey Legacy Dance Scholarship to receive one-on-one dance instruction throughout the application year. Learn more information on care4dance.org.

Student First Name: *

Student Last Name: *

Age: *

Birth Date: *

YYYY

Gender: *

Female

Male

Prefer not to say

Other:

Address (street, city/state, zip): *

Phone Number: *

Are you a Florida resident? *

Yes

Parent / Guardian Name: *

Student Email Address:

Parent / Guardian Email Address: *

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