Registration: Mommy and Me Movement and Story Time, Fridays, Sept 3-24, 9:30am

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For all children ages 2-5, this story-based dance class will teach elements common to ALL dance forms. Its purpose is to integrate imagination and movement to build physical skills, but ALSO to show parents how they can use movement in their homes to help children with hyperactivity, coordination, focus, expressing emotions or feelings, building confidence, and MORE! The class is just 30 minutes, and taught by Katie Hall, a dance instructor with a bachelors degree in Special Education. Class size is limited. Cost is $25/mo. Parents ARE required to attend and participate with their child(ren). No non-participating siblings or children under 2yo allowed in the class. Class is held at 45 E. 500 N. in Logan, UT. More information sent prior to first class.

Attending Parent's First and Last Name *

Dancer Name(s), Age(s) *

Phone number for emergencies/text updates *

Email contact *

OPTIONAL: If you would like content of this class to address any specific needs mentioned below, please indicate.

Hyperactivity

Need to increase or narrow focus

Expressing emotions or feelings

Sluggish movements or slow response to requests (stalling, passive resistance)

Lack of strength, coordination, or body awareness

Gentleness

Personal Space Issues

Building Confidence

Optional: If your child has any other developmental and/or physical issues you wish the teacher to be made aware of, please list them below. This information will not be shared, and is used only to help guide content preparation so the class will be of the greatest benefit to you and your child.

Payment is primarily through Venmo. You will be sent a payment request once the class has reached minimum participation. Registration is not complete until your payment has been made. If you have a Venmo account, please leave your ID and last 4 digits of your phone number for verification below.

The other payment option is to pay by check. Please re-enter your phone number here so payment instructions can be sent to you via text.

If you have any questions, comments, or concerns, please email Steffanie Casperson, director of Ballet Aligned, directly at steffaniecasperson@gmail.com. (Or if you prefer, list them below for a slower response.)

List the full name of the person who referred you to Ballet Aligned. Thank you!

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