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Danceworks Covid-19 Youth Class Credit
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1.
Name of person completing this survey
(Required.)
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2.
Name of Danceworks student (please submit one form per student)
(Required.)
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3.
Please list the class that you expected credit for along with the day, time, and location that the class meets.
(Required.)
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4.
Email Address
(Required.)
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5.
Home address
(Required.)
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6.
Credit and/or donation options
(Required.)
I would like to donate my full credit to Danceworks. You will receive an acknowledgement letter for your in-kind, tax deductible donation.
I would like to receive a full credit to be added to my Danceworks account (this credit is good for one year.)
I would like to donate part of my credit.
You will receive an acknowledgment letter for your in-kind, tax-deductible donation.
If you would like to use your credit to make a donation, please specify the amount you would like to donate.
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7.
Please type your first and last name here along with the date as your Electronic Signature
(Required.)
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