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Summer Workshop Registration
Herrera Dance Project
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Email
*
Your email
Students Name
*
Your answer
Students Age
*
Your answer
Students Preferred Pronouns
*
Her/She
Him/He
Them/They
Other:
Guardians Name
*
Your answer
Mobile Number
*
Your answer
Email
*
Your answer
Does student have any medical conditions? (Asthma, Past Injuries) Anything that may be triggered by extended cardiovascular exercise?
Your answer
Does student have any food allergies? (Small snacks will be provided throughout the day)
*
Your answer
Upon submission of this form an invoice will be sent to email provided. Once payment received your students enrollment will be complete. Thank you for allowing your student to dance with us!
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