Your Name *

First Name

Last Name

Who should we contact with additional information about your application? (if different than above)

First Name

Last Name

Please select the style(s) of dance you would like to see addressed through this program *

Please select your top two choices

Ballet

Modern

Jazz

Hip Hop

Breakdancing

Latin

Tap

The Design Dance program serves students grades K-12. Please select the grade levels below that you think would benefit most from an arts program in the upcoming school year. *

Please select all that apply

Kindergarten

1st grade

2nd grade

3rd grade

4th grade

5th grade

6th grade

7th grade

8th grade

9th grade

10th grade

11th grade

12th grade

In the past, how has your school funded arts or enrichment programs that occur during the school day? *

Please select all that apply

Fundraising through PTA/PTO

District allocated arts or enrichment funds

Not sure! I'm a parent or classroom teacher and have not been involved in funding efforts in the past.