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Danceworks Outreach Dance Classes Request Survey
Would you like Danceworks to provide a professional instructor to teach dance to your group? Danceworks teaching artists are skilled in styles as diverse as Contemporary Modern, Hip Hop, Salsa, Jazz, Rhythm/Tap, Ballet, Creative Movement, Musical Theatre, Swing, Barre Fitness, Stretch & Relaxation & much more! We can even accommodate limited mobility with any of our dance styles. We would be happy to create a dance experience that is specfic to the interests of your group. Please complete the Danceworks Dance Class/Lesson Request Form and a Danceworks staff member will follow up soon. We can't wait to get your group up and moving!
We are glad to cater a dance experience to the interests of your group. Please complete the Danceworks Outreach Dance Classes Request survey and a Danceworks faculty member will follow up soon to get your group in motion!
Name of school/community group/organization requesting a Danceworks class or lesson:
*
Contact Name:
*
First
Last
Contact Email:
*
Contact Phone Number:
*
Proposed date/date range:
*
Proposed time of day/timeframe:
*
Proposed duration:
*
30 min.
45 min.
60 min.
75 min.
90 min.
120 min.
What is the proposed frequency of dance class?
*
This will be a one-time class/lesson.
This will be an ongoing class series.
If this will be an ongoing class, it will last:
4 weeks
6 weeks
8 weeks
12 weeks
Other
If you selected "other" for the question above, please explain here:
If this will be an ongoing class series, the class will occur:
1 time per week
2 times per week
3 times per week
5 times per week
Other
If you selected "other" for the question above, please explain:
Please list any dates during the timeframe desired that there will be no class? (School In-service Day, Field Trips, etc.)
*
Will the students perform the skills that they learned in the classes at a culminating event? If so, please describe.
*
Estimated dance class size:
*
10-15 participants
15-20 participants
20-30 participants
30-50 participants
Other
If you selected "other" for the question above, please explain :
Estimated participant age range (select all that apply):
*
0-2 years
3-5 years
6-8 years
9-12 years
13-17 years
Adults
Families
Seniors
Other
If you selected "other" for the question above, please explain :
Please indicate the dance experience of your participants:
*
Beginning
Intermediate
Advanced
Indicate the dance class venue preference:
*
We would like to bring our school/community group/organization to Danceworks for the dance class.
Our school/community group/organization will provide the dance class location.
If your school/community group/organization will provide the performance venue, what is the address?
Street Address
Street Address Line 2
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Congo (Brazzaville)
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Macedonia
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wales
Yemen
Zambia
Zimbabwe
Country
If your school/community group/organization will provide the dance class location, what is the dance class space?
Dance Studio
Gym
Auditorium
Theatre
Classroom
Other
If you selected "other" for the question above, please explain here:
If your school/community group/organization will provide the dance class location, what are the dimensions of the dance class space?
Approx. 10x20 feet
Approx. 20x30 feet
Approx. 30x40 feet
Other
If you selected "other" for the question above, please explain here :
If your school/community group/organization will provide the dance class location, do you have a sound system with auxiliary cord?
Yes
No
If your school/community group/organization will provide the dance class location, do you have a sound system with bluetooth capabilities?
Yes
No
If your school/community group/organization will provide the dance class location, do you have a microphone?
Yes
No
Is your group interested in learning one specific style of dance? If so, please indicate which style of dance your group has interest in (otherwise, skip to the next question):
Contemporary
Hip Hop
Ballet
Classical Indian Dance
Salsa
Swing
Tap
Jazz
Creative Movement
Dancemaking/Choreography
Musical Theatre
Zumba
Stretch & Relaxation
Barre Fitness
Other
If you selected "other" for the question above, please explain here:
If your group is interested in learning multiple styles of dance ("Dance Sampler"), please indicate any styles your group has interest in and we will create a schedule that allows instruction in each of your preferred styles. Please indicate 2 or more styles that your group would be interested in:
Contemporary
Hip Hop
Ballet
Classical Indian Dance
Salsa
Swing
Tap
Jazz
Creative Movement
Dancemaking/Choreography
Musical Theatre
Zumba
Stretch & Relaxation
Barre Fitness
Inter-Arts (Dance & Visual Arts, Dance & Music)
Other
If you selected "other" for the question above, please explain here:
What is your anticipated budget for this class/lesson?
*
Anything else we should know about your school/community group and your goals/hopes for this class/series of classes?
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