"Harbingers of Lust" Spring 2024 Dance Series Intake Form
This form is to complete your registration for Chai's upcoming class series "Harbingers of Lust" from March 22 2024 - May 19 2024, performing at a SINnergy Productions "MUSICAL MAYHEM" Sunday May 19 2024 at the Victoria Event Center, AS WELL a music video style shoot of the dance! Music video date will be voted on in the FB group. 

*PLEASE NOTE: There will be a two week break in this session, as I recover from a surgery. 
Classes will be held as follows:

March 22nd 6-7PM
March 29th 6-7pm
-two week break here-
April 19 6-7pm
April 26 6-7pm
May 3 6-7pm
May 10 6-7:30pm
May 17 6-7:30pm

Session is $250 if signed up before March 17th at midnight
Session is $275 if signed up after  March 17th at midnight
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What's your email? *
What's your full name? *
Pronouns? *
Do you have a stage name? If so what is it?
What is your phone number? (In case of last minute changes) *
Please provide an emergency contact for yourself. Include their name, relation to you and phone number *
Do you have any prior dance experience? No experience is required! *
Do you have an injuries and/or chronic conditions I should be aware of? *
If you anwsered yes to the above question, what kind of modifications do you think you'll need? Example: having bad knees/back and can't easily get to the floor and back up.
Do you identify as part of the BIPOC community? *
Have you sent your $100 non-refundable and non-transferable payment to sinnergyproductions@gmail.com? *
Do you understand that this class series is working towards a dance performance at a production by SINnergy Productions,  "MUSICAL MAYHEM" Sunday May 19 at the Victoria Event Center. Performing is not mandatory but highly encouraged. Are you committed to performing and making sure you are free of other commitments the evening of the show? *
There are two options of songs we can perform at this show! Please choose whichever one you'd prefer. Chai will tally the votes on the first day of class and the majority will be the once we perform *
Required
You will be added to a Facebook group called "Harbingers of Lust" where you'll be able to connect with your fellow dancers, costume options will be discussed and where videos of rehersals will be uploaded for review. Please add "Tala Small Wolf" (that's Chai's muggle name) as a friend on Facebook and she'll add you to the group. Please list your FB name in the Other option below *
Do you have any allergies/sensitivities I should be aware of? *
Please acknowledge the following statements: *
Required
Thank you for dancing with me! I can't wait to groove with yall <3
Please reach out if you have any questions or concerns
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