Building Resilience Through Dance Movement Therapy Summer 2020

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Hi there! Thank you for your interest in attending Virya Foundation's "Building Resilience Through Dance Movement Therapy" Summer Camp! If you are registering more than one child, feel free to add both their names & ages in a single form.

Event Timing: Every Wednesday 6 - 7 pm (July 15th - August 5th)
Event Address: Address will be sent to parent's email after registering.
Contact Number: (925) 998-0575
Dress Code: Comfortable clothing in which you can dance in.

Looking forward to this fun-filled summer camp! :)

Student's Name *

Age *

Parent's Name *

Parent's Email *

Parent's Phone Number *

Alternate Phone Number

I agree to give consent for my child's picture and/or video to be taken during the workshop by Virya Foundation's team for documentation purposes on our website. *

Yes

Any other questions or comments? We would be glad to hear them!

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