Beginners Heels Edition Dance Class: Health & Wellness Series

Registration Form

This is a free event. In order to ensure that as many people as possible have a chance to participate, please notify us promptly if you have to cancel your registration.

Please complete the entire registration form. If you experience problems with the form or have questions, you may contact Tyler Cook at tcook@thrivealabama.org or 256-536-4700 x2409.

All event information will be shared with you through the email address you provide.

Please check your email regularly for important event updates.

This program is sponsored by Thrive Alabama.

Class Instructor: Kaleka Jones, KTenae Choreography

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* 1. Please select the session you want to attend.

Session 2- December 9th (2:00 pm- 4:00 pm)

Session 3- December 16th (2:00 pm- 4:00 pm)

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* 2. First Name

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* 3. Last Name

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* 4. Age

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* 5. What is your race/ethnicity?

White or Caucasian

Black or African American

Latinx

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Biracial/Multiracial

Prefer not to answer

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* 6. At what email address would you like to be contacted?

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* 7. Best Phone Number (including area code)

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* 8. How did you hear about this event?

Facebook

Instagram

Friend or Family

Other (please specify)