Dancer's Name

Address City Postal Code

Telephone # (Home) - Cell # - Email address

Teacher MHDA Membership Number

Level of Dance <level> Primary Beginner Novice Intermediate Premier

Dances Known (choose all that apply). Please note, this does not say that all dances will be danced there, but allows for possible options:

Dates available:

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

If you are a Premier dancer, would you be willing to help out in teaching free dance lessons at the pavilion? Yes

We also require some volunteers for sitting at the M.H.D.A. booth. This would involve 2-3 hrs giving out information, answering questions about M.H.D.A., and basically representing the Association to the public. Though very much appreciated, this DOES NOT count towards the yearly membership volunteer time. Please fill out days and times you are able to volunteer at the booth below. Please remember that there will be 2 people needed for each time slot.

Any Additional Comments