YMCA Dance Program Question Title * 1. Childs age Question Title * 2. Childs grade Question Title * 3. Are you a YMCA member? Yes No Question Title * 4. Male or Female (child) Female Male Question Title * 5. Level of dance experience, if any Beginner Intermediate Advanced Other (please specify) Question Title * 6. Preferred for the program. Monday Tuesday Wednesday Thursday Question Title * 7. Preferred time frame for the program. 4-5 5-6 6-7 Question Title * 8. What dance styles are you interested in? Ballet Tap Jazz Hip Hop Pom/Dance Team Prep Other (please specify) Question Title * 9. Would you participate in an end of season show? Yes No Question Title * 10. If yes, would you be willing to purchase a costume? Yes No Other (please specify) Question Title * 11. What is your reason for participation? Recreation Trying out for a school dance team Looking for a new studio Other (please specify) Question Title * 12. Any additional comments/suggestions please include below. Done