Beginning of the Year Dance Survey

What is your first and last name?

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Pronouns you identify with (she/her, they/them, he/him, etc.)

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What is your email address?

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What is your phone number?

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What is your address?

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Which period do you take dance?

• 2nd Period
• 3rd Period
• 4th Period
• 5th Period
• 6th Period

Parent or Guardian's Name

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List any dance or theater experience. Include the amount of time and teacher.

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What is your favorite style of dance?

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Which style of dance do you think you may struggle with?

• Line Dancing
• Tap
• Jazz
• Ethnic (example: Hawaiian Dance)
• Hip-Hop