Dance for PD® Registration Form
Thank you for taking a moment to fill out the dNaga/Danspace Dance for PD® registration form and share your contact information with us. This information is important for us to know if we ever need to assist you in an emergency - especially during these times of virtual dancing and if you plan on participating in Zoom classes by yourself, with no one else at home.

The information you provide on this form will be treated with the utmost confidentiality.

Please Note: You will receive an email within 48 hours of filling out this form with class information. If you are new to our classes, please allow at least 48 hours between the time of submitting and the first class you plan to attend.
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Name
First and Last
Date of Birth
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Gender
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Home Address
Street address, City, State, Zip code
Phone Number
Email Address
Danspace and dNaga communicate primarily via email. If you give us your email address it will be added to our mailing list. The e-mails are sent only from the studio regarding studio/class information and updates. We do not sell or give your e-mail to outside groups.
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