Dancing Grounds Youth Program Interest Form

Please complete this form to let us know which program(s) you are interested in registering for or learning more about.

This form is NOT the registration form, a representative of Dancing Grounds will be in contact with the correct registration form upon completion of this interest form.

Parent Information

First Name

Last Name

Cell Phone

When is the best time for us to call?

Other

Student Information

First Name

Last Name

Edit this text

Birthdate

Ex. 01/11/2000

Grade Level in upcoming School Year

Race/Ethnicity

Gender Identity

Anything else you want to let us know about your child's gender identity or race/ethnicity?

Program Information

What Programs are you interested in?

DG Tots (ages 3-4)DG Kids Hip Hop (ages 5-6)
DG Youth Company Team Flex (ages 7-10)DG Youth Company Team Pointe (Ages 11 - 13)DG Summer Camp (for rising 3rd-8th graders)
Dance for Social Change (High School)Freedom Schools: Revolution Reimagined (ages 13-21)Dance for Social Change Summer Dance Intensive (high school)Youth Town Hall (all ages)