Movin N Groovin Dance

1
Name of Guest Attending* This field is required.Dance is open to any adult with an Intellectual Disability
First Name
Last Name
2
Menu for Tuesday, Oct 28th, 2025

Walking Tacos
Location:

Dances will now be in the back ballroom.use side parking lot & entance located under the covered drive thru entrance

Lakeside Venues
400 Old Rt 21 Rd
McClellandtown, PA 15458
3
Contact Information* This field is required.
Please enter a valid phone number.
4
Chaperone's Name* This field is required.Each guest is required to have a chaperone with them during the entire event
First Name
Last Name
5
Contact Information for Chaperone* This field is required.
Please enter a valid phone number.
6
Any special information we should be aware of?Allergies, special accommodations, etc
Huge
Large
Normal
Small
Ok
Ok
7
Is registered individual celebrating their birthday this month?* This field is required.We will be announcing all monthly birthdays and singing happy birthday
YESNO
8
$3 per registrant @ Door (one chaperone free per registrant)

Additional donations are accepted at the door to help offset the costs of each event. ALL proceeds received will be used for Movin N Groovin dance purposes.
Should be Empty: