Name *

First Name

Last Name

Phone *

(###)

###

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What is your current dance focus or training style? *

Commercial / Industry

Freestyle

Hip Hop

Contemporary / Fusion

Other (please specify)

Have you worked with Miss Andye J before (class, intensive, or mentorship)? *

Yes

No

Do you agree to the $250 cost and understand this mentorship is non-refundable? *

Yes

No