Student's Name:
Date of Birth / Age:
Street Address:
City/State/Zipcode:
Telephone No:
Email:
Parent's Name:
Parent's Tel:
____________________________________________
Which campus will you be attending - Norristown
or Philadelphia:
Norristown
Philadelphia
Which adult classes are you interested in:
(scroll down)
African
Liturgical-Intro/Beginner
Liturgical-Beginner/Intermediate
Which youth classes are you interested in:
(scroll down)
Intro to Movement/Liturgical
Liturgical I
Liturgical II
Tap-Beginner
Tap-Intermediate
Are you interested in CCD's Dance Assistant
Training:
YES
NO
Please describe your previous dance
training/ministry experience:
"Teaching and Empowering people to minister for the Lord through the Arts"
2 Campuses - Norristown & Philadelphia
