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Youth Registration

End of Summer Schedule Updates

CMDE Summer classes end August 27 except for Claire’s Dancing Work Out and outside artists classes. CMDE classes will start September 23

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!

First Time Youth Class Registration Form 2023
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Name
Sex
Student’s Race/Ethnicity:
Referral Source Type
Annual Income of Parents:
Youth Employment Status:
Source of Income:
Type of School:
School Status:
School Classification:
Family:
Living Arrangements:
Primary Caregiver:
Problem Areas:
Parent/Guardian Name (if Minor)
Parent/Guardian Name 2 (if Minor)
Emergency Contact Name
Address
Tuesday Classes
Thursday Classes
Sunday Classes
May we use yours or your child's photos or videos for publicity purposes?
Does student have any disabilities or special needs?

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We thank our sponsors

CMDE programming is made possible in part by funds from the New Jersey State Council on the Arts, a partner agency of the National Endowment for the Arts; the Bergen County Department of Human Services Youth Services Commission; Lillian Pitkin Schenck Fund; Levitt Foundation; and numerous individual donors. The 2022 repair of the main CMDE dance studio was made possible by an FY22 capital grant from the New Jersey State Council on the Arts. CMDE was supported in 2020-2022 by COVID-relief funding from the New Jersey State Council on the Arts, the National Endowment for the Arts, the New Jersey Arts and Culture Recovery Fund, Northern New Jersey Community Foundation, and New Jersey Economic Development Authority.

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Contact Us
ADDRESS

84 Euclid Ave
Hackensack
NJ 07601

PHONE

+1 201 342 2989

EMAIL

info@cmde.org

OPENING HOURS

Monday - Sunday
8am - 9pm

Copyright © 2023 Center for Modern Dance Education. All Rights Reserved.