Festejo Afro-Peruvian Dance – Registration
Join us for Festejo Afro-Peruvian Dance!
When:
2nd Saturdays, 11am to 12pm
Next Session:
Saturday, November 9
Where:
Sabathani Dance Studio, Room 33
Instructor:
Gissela Reyes
Cost:
Free to attend
Age Group:
Open to ages 18+
Participant Details
First Name
Last Name
Which of the following do you use?
Cell Phone
Email
Home Phone
Cell Phone
Home Phone
Email
Language
Do you speak English well enough to receive services in English?
Yes
No
What language do you prefer to communicate in?
Please select...
English
Spanish
Somali
Hmong
Other
Primary language spoken, if other
Waiver
In consideration of my participation in this activity, I hereby release and discharge Sabathani Community Center, and its representatives, successors, and assigns, from any and all liability arising from accident, injury, and illness that I may suffer as a result of my participation in this activity.
Initial that you have read and agree to the above waiver.
Photo/Video Agreement
I grant the Sabathani Community Center (SCC) and anyone authorized by SCC to use my photographic images, video and audio with or without my name in SCC promotional materials.
Initial that you have read and agree to the above release.
Demographics
The following demographic questions are optional and are to help us evaluate the reach of our programs.
Zip Code
Gender
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Male
Female
Non-Binary
Prefer Not To Say
Birthdate
Race/Ethnicity
African/Somali/Ethiopian
American Indian or Alaska Native
Asian
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Middle Eastern or North African
Multiracial
Native Hawaiian or Pacific Islander
Other
Did you know that Sabathani Community Center offers many programs? Select any programs or services below that you would like to learn more about, so we can connect you (or your family) with the right people.
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