Danceworks Covid-19 Youth Class Credit Question Title * 1. Name of person completing this survey OK Question Title * 2. Name of Danceworks student (please submit one form per student) OK Question Title * 3. Please list the class that you expected credit for along with the day, time, and location that the class meets. OK Question Title * 4. Email Address OK Question Title * 5. Home address OK Question Title * 6. Credit and/or donation options 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. OK Question Title * 7. Please type your first and last name here along with the date as your Electronic Signature OK DONE