Youth Registration

For more information please contact Maria Ruiz at chilorh@gmail.com.

Program Selection

Please mark the program(s) in which you would like to enroll:

Traditional Folklore of Masaya

Ballet Folklore

Name

First Name

Last Name

Parent/Guardian Name

First Name

Last Name

Date of Birth

YYYY

Contact Information

Email Address

Home Phone

(###)

###

####

Cell Phone

(###)

###

####

Best Way to Reach You

Home Phone

Cell Phone

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Demographics

Racial/Cultural Identity

Language(s) Spoken at Home

Gender Identity

School Where You Are Currently Enrolled

School Grade

Tell Us a Little About Yourself

1. Do you have any experience in performing arts?

2. Have you ever worked with a team? How was that experience for you?

3. How do you think you will benefit from our programming?

4. How did you find out about Chavalos Danzas por Nicaragua?

*Required Information

Youth Registration

Youth Registration

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