Therapeutic & Inclusive Culture Block Free Dance Class Registration

Charlotte Ballet

Classes are now meeting in-person at Marion Diehl Recreation Center with the option to join virtually from home if you'd like.

Please complete the registration information below. Upon completion of the survey copy the zoom link and password for your class if you'd like to join virtually. You only need to complete this survey one time and will receive a weekly e-mail with the class code. We look forward to seeing you in class.

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* 1. Registrant Information

First Name

Last Name

Address:

City

State

Zip Code

Phone Number:

E-mail address:

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* 2. Ethnic Background

Asian

Black/African

Caucasian

Hispanic/LatinX

Native American

Pacific Islander

Prefer not to asnwer

Mixed

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* 3. What is your age range?

0-18

19-35

36-50

51-65

65-100

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* 4. Please select the class you are registering for

Therapeutic and Inclusive Dance Class-Thursday 1-2 PM