Participants Name *

First Name

Last Name

Participant Phone

(###)

###

####

Guardian Name (if participant is a minor) *

First Name

Last Name

Guardian Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What art discipline(s) are you interested in? *

Select all that you are interested in learning more about

Hip Hop Dance

Traditional Dance (Ballet, Tap, Jazz, Contemporary)

DJing / Beat Making

Photography, Videography, Video Editing, Social Media Content Creation

Are you interested in working with us in Fresno? *

Yes, as an intern

Yes, as a teaching artist

Yes, as a volunteer

Yes, as admin support

No, not at this time

Would you like to be added to our email list? *

Yes

No