Wellness Workshop Scholarship Application Name * First Name Last Name Email * Would you like to be added to our mailing list to be kept updated on dance, choreography, and performance opportunities in the area? * I'm already on the list Yes No Age * 16-20 21-30 31-40 41-50 51-60 61+ What is your occupation? * What is your yearly income? * What, if any amount, are you able to pay for this full workshop experience? * Is there anything specific you hope to see covered at this workshop? * Why would you like to attend this workshop? * How did you hear about this workshop? * Thank you for your registration! We will be in touch in 24-48 hours.
