Young Choreographer's Club Registration Form

YOUNG CHOREOGRAPHER'S CLUB REGISTRATION
If you would like to apply to the TBIPOC Tuition Waiver fill out THIS FORM before you register!

The Young Choreographer’s Club is a dance-making series for aspiring choreographers and dancers. Led by teaching artist Moonyeka and a diverse local faculty. Participants gain foundational techniques to experiment, collaborate, and bring clarity in this process-centered dance making series. Through movement, voice, music, and teamwork, they cultivate their choreographic voice. The program culminates in a showcase at 12 Ave Arts, where participants share their creations with friends and family. A joint endeavor of Velocity Dance Center and Moonyeka, this initiative builds upon the legacy of two esteemed youth dance programs, LIL BROWN GIRLS CLUB and Seattle Youth Dance Collective.
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Mailing Address*

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Email*
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Participant Name (if different than above)

First NameLast Name
Participant Birthdate*

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Date

PHOTO RELEASE + LIABILITY WAIVER

WAIVER INFORMATION
By signing below, I certify that my level of health, determined by me or my physician, will allow me to safely participate in this program. I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the class. I hereby release my instructor and Velocity Dance Center from responsibility for any injuries I may sustain as a result of participation in this program. I have read the above release and waiver of liability and fully understand its contents and legally, voluntarily agree to the terms and conditions stated above.By signing below, I give my permission for Velocity Dance Center to release my name, related information about me and the events I participate in via news, social media, photograph and/or video; to disperse information about the photographed, video taped, or webcasted event to the news media; to use the above information and/or the above photograph/video in Velocity Dance Center publications and promotions.
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YOUNG CHOREOGRAPHER'S CLUB PAYMENT
Please contact Shirley Wong, operations@velocitydancecenter.org, for any questions or clarifications about registration or payment.

PAYMENT OPTIONS BELOW (please select one of the sliding scale options below)

Young Choreographer's Club

Supporter

$300.00 Quantity

Young Choreographer's Club

General

$200.00 Quantity

Young Choreographer's Club

Low income

$150.00 Quantity

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$0.00

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YOUNG CHOREOGRAPHER'S CLUB REGISTRATION