Houston Dance Consortium
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Dancer's name
*
First
Last
Email
*
Phone
*
Dancer's date of birth
*
Number of previous years dancing (NA if not applicable)
*
Number of previous years teaching (NA if not applicable)
Check all dance experience that applies:
Private Lessons / Studio
Competitive
Dance Team
Recreational
Teaching
Teaching Assistant
N/A – New Dancer
Do you have any relevant special skills or experiences you would like to share with us?
What are you hoping to gain from your experience with HDC?
Membership Agreement
*
I agree to abide by the principals of HDC, as listed on the website.
I agree to the following charge:
*
Bronze Member (Individual w/ annual membership) –
$275.00
Rose Gold Member (Individual w/ annual membership) –
$550.00
Bronze Member (Organization w/ annual membership) –
$385.00
Rose Gold Member (Organization w/ annual membership) –
$880.00
Total
$0.00
Stripe Credit Card
*
Submit
