mBody Dance Workshop Registration Form

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mBody's Winter Workshop, January 4th hosted at Katie's Dance Studio, El Cerrito, CA. Please fill out information below prior to attending worksop.

Payment will be due on the day of the workshop(cash, card, paypal, venmo or check). Please email mbodydanceco@gmail.com with any questions! See you there!

Email *

Dancer's First and Last Name: *

Dancer's Birthdate: *

YYYY

Years of dance experience: *

Dancer is currently registered at Katie's Dance Studio? *

Yes

Required

Select which classes you would like to attend or Full Day Below: *

8-8:50am Yoga Mat-All Levels, $15 fee (Bring your own mat if you'd like!)

9-9:50 Classical Pilates Mat-All Levels, $15 fee

10-10:50am Ballet-Intermediate, $15 fee

11-11:50am Contemporary-Intermediate, $15 fee

12-12:50pm Improvisation-Int., $15 fee

1:30-2:20pm Gyrokinesis, $15 fee

2:30-3:10pm Jazz, $15 fee

3:15-4pm mBody Repertory-Int./Advanced, $15 fee

Full Day(All Classes), $110 fee

Not sure yet.

Required

Select your preferred form of payment below: *

Cash

Credit Card

PayPal

Venmo

Check

I hereby give my, or for my child under 18, permission to have my/their photo or video used for professional, promotional or advertising purposes with mBody Dance Company only. *

Yes

Emergency Contact: Name, Number, Relationship to Child *

Please check our website for any updates you may need prior to the workshop! We look forward to moving and dancing with you!! Feel free to email us at mbodydanceco@gmail.com with any questions! ~mBody Dance Company

www.mbodydanceco.com/upcomingevents

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