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Shall We Dance Application 2023
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*
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Name
*
First
Last
Birthdate
*
Must be 21 or older to participate.
MM slash DD slash YYYY
Email
*
Phone
*
Address
*
Street Address
Address Line 2
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Have you lived anywhere outside of Wisconsin in the last five years?
Yes
No
If so, what state(s)?
*
Your Occupation
Employer
Did someone nominate you?
Yes
No
If so, who?
First
Last
Why do you want to participate as a Community Dancer for Shall We Dance 2023?
*
Your personal goal as a Community Dancer is to raise a minimum of $10,000. How would you achieve this fundraising amount?
As a Community Dancer, you will help raise awareness for sexual and domestic violence services and programs offered by Harbor House. What work have you done in the community for this or other causes?
You will learn a dance routine with a professional dancer selected by the Shall We Dance committee. Do you have any prior dance experience?
Being a Community Dancer is a commitment. You will need to be available for photo shoots, dance rehearsals, meet & greet events, and of course the big day, Saturday October 21. What days of the week are are you most available?
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
If you are chosen as a Community Dancer, you will be required to have a background check. Please let us know if you have any concerns you would like to share ahead of time.
Dancers can and will incur out-of-pocket expenses such as additional dance lessons (12 are provided at no cost), dance shoes, costume, and props.
*
I acknowledge and understand
Dancers are required to have a professional photo shoot. You acknowledge and understand your image and likeness will be used for promotional purposes of Shall We Dance 2023.
*
I acknowledge and understand
Email
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