We are asking you to fill out this form for any youth(s) ages 8-19 yrs. who participates in CMDE’s dance classes. This program is made possible by generous funding from the Bergen County Youth Services Commission, which enables us to bring dance classes and summer camps to children and teens for FREE . Due to the funding source, we are REQUIRED to collect certain data on all participating students. Information is kept confidential. We realize that filling out paperwork is an inconvenience, but it will help us help you! Thank you in advance for your assistance!