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* 1. Tell us about yourself...

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* 2. Who will the dance classes be for?

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* 3. How old are the student(s)? (Check all that apply)

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* 4. What level of dance are you interested in? (Click all that apply)

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* 5. What dance classes and workshops would you like to learn about? (Check all that apply)

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* 6. Why are you interested in dance classes and workshops? (Check all that apply)

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* 7. What days are you available to meet for dance classes? (Click all that apply)

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* 8. What times are you available to meet for dance classes? (Click all that apply)

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* 9. How often would you like to meet for dance classes? 

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* 10. Anything else you'd like to tell NEO so that we can serve you better? E.g., learning style, specific needs. 

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