Moving Through Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We have space for 50 students who are interested in FREE monthly movement, music and design
workshops from December 2021 to April 2022. Please fill out one form per student.

Name (of MOVEr) *

Age *

T Shirt Size *

XXL

Parent E-Mail *

Parent Phone Number *

Please share your interest in joining the Moving Through workshops with Project Move *

I was a member of the YMCA Dance & Theatre Program and I would like to continue my experience with Project Move

I am interested in the affordable no-cost option to increase my (my children's) exposure and access to the arts

I am interested in the supportive multi-cultural community centered programming and mission

Other:

Required

What obstacle(s) have you encountered in your life and how did you overcome it? *

***I understand that while at PROJECT MOVE, pictures and/or video may be taken and used for publicity purposes. PROJECT MOVE will not release or publish the names of any student, with the exception of information related specifically to classes or performances.***I also agree to comply with all COVID policies and understand that these policies may change. As of 11/1/21 all students are required to wear a mask regardless of vaccination status. THANK YOU FOR JOINING THE MOVEMENT! ***Signature of Parent or Guardian below *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Seas Cartography. Report Abuse

Forms