CMC Dance Co. & FEAT of CNY 6092 State Highway 31 Cicero, NY 13039 Summer Dance Workshop August 2014 Description: This dance workshop will prepare students diagnosed with an autism spectrum disorder (ASD) to dance in a Disney/Musical theater style and rehearse for a recital to be held Thursday, August 28th 6:15-7pm at the studio. Class schedule: Tuesday Wednesday Thursday August 19th 10am-12pm August 20th 10am-12pm August 21st 4pm-6pm August 26th 10am-12pm August 27th 10am-12pm August 28th 4pm-6pm

**Dance Recital: Thursday, August 28th 6:15-7pm at studio all students encouraged to participate**

Students diagnosed with an ASD: No prior dance experience required. Students are welcome to bring their own support staff.

Dress Code: Ladies- Plain t-shirt that fits neatly, black leggings, sweats, bike shorts, or yoga pants of any length, hair pulled off the face in ponytail or headband. Bring a pair of socks.

Gentlemen- Plain t-shirt that fits neatly and athletic shorts. Bring a pair of socks.

Shoes- ballet or jazz shoes, if you do not have them, bare feet will work Tap- tap shoes or hard soled shoe otherwise, bare feet will work. Bring a pair of socks.

Questions? Call (315) 857-4416 or email [email protected]

To register, fill out the attached enrollment form and send to Angela Saturno, 7900 Glenbrook Dr. Baldwinsville, NY 13027 or e-mail: [email protected] by August 15, 2014 CMC/FEAT Summer Dance Workshop Enrollment Form

Name: ______Age: ______Parent/Guardian: ______Address: ______Phone #: ______Cell: ______Email address: ______Please enroll the above named student in the following class (es). Please use a separate enrollment form for each student. Place a checkmark next to the class(es) your child will attend. Please check recital if student is planning to participate (not mandatory but encouraged).

 Tuesday August 19th 10-12 August 26th 10-12

 Wednesday August 20th 10-12 August 27th 10-12

 Thursday August 21st 4-6 August 28th 4-6 August 28th 6:15-7pm Dance Recital - all students encouraged to participate

Please share any medical conditions, medications, restrictions, behavioral considerations that may affect participation in dance class: ______(All information will be held confidential)

As parent/guardian of the above student, I understand that dance is a hazardous activity from which all risk of injury cannot be eliminated. I consent for the above named student to participate in the activities and I assume the risks incidental to the participation in such activities.

Signature of parent/guardian: ______Date: ______

Send completed enrollment form by August 15th, 2014 to: Angela Saturno, 7900 Glenbrook Dr. Baldwinsville, NY 13027 or e-mail: [email protected] Questions? Call Angela (315) 857- 4416