Adapted Dance Off-Site Registration 2023-24
Adapted Dance - Offsite takes existing Houston Ballet Education and Community Engagement programs and adapts them to populations with special needs/disabilities: such as down syndrome, autism, and the like. Our specially trained staff partners with schools, hospitals, and other organizations to create a program specifically designed for your students.
Adapted Dance - Off-Site is perfect for your SLC, SLL, and SPED classes.

• This is a FREE program.
• Class length will vary depending upon student needs.
• Campus teachers are expected to maintain class management and attendance.
• Requests are filled on a first come, first served basis, and are subject to availability.
• You will be contacted to confirm date, time and number of sessions
• We will not be hosting classes after 4PM at this time

*We cannot guarantee the exact schedule you request, but we will do our best to book something as close as possible.

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Email *
LOCATION INFORMATION
Is your school a part of HISD's NES Program? *
School Name or Organization *
No initials please. (i.e. Jane Doe Elementary)
School/Organization's Address *
City *
State *
Zip Code *
School District
If applicable
PRIMARY CONTACT INFORMATION
Full Name *
First & last
Title *
i.e. Wraparound, Teacher, Principal, etc.
E-Mail *
Double check that this is not misspelled.
Direct Telephone Number *
SECONDARY CONTACT INFORMATION
We will contact this person if the primary contact is unavailable.
*If you are not the classroom teacher, please include their information below.
Full Name *
First & last
Title *
(i.e. Wraparound, Teacher, Principal, etc.)
E-Mail *
Double check that this is not misspelled.
Direct Telephone Number *
PROGRAM INFORMATION
Grade Level or Age Range *
Please specify
Number of Students *
*Minimum of 5 and Maximum of 15 students per class.
What special needs/disabilities is your class, program, or organization addressing? *
What month(s) are you interested in receiving classes? *
Check all that apply. We will do our best to accommodate.
Required
What day(s) do you prefer? *
Check all that apply.
Required
What time do you prefer we start class? *
Please include exact class times (i.e. 10 am - 12 pm | 9 am for 1st grade, 1 pm for 2nd grade) 
*We are NOT hosting classes after 4PM at this time.
Will we be seeing the same students each visit? *
Only 15 students per class allowed, if you'd like us to see more, they'll need to be split up into groups.
If you answered "No" above, how many groups will we be seeing and how many students should we expect in each group? *
Type "N/A" if you answered "Yes" above.
Would you like to add any notes that can better assist us with booking your request?
i.e. Times/dates that won't work; specific class accommodations; block scheduling; room size options; back to back classes; etc.
Would you like to be enrolled in the Education and Community Engagement e-mail list? *
A copy of your responses will be emailed to the address you provided.
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