RHYTHM DYNAMIX DANCE - CONTACT INFORMATION

 Mailing Address:

Michelle Mitchell (Choreographer/Director)
44 Richmond Street West
Unit # 102
Oshawa ON
L1G 1C7

Oshawa Tel #: 905-438-1537
Mobile #: 905-435-3088

E-mail: michelle@rhythmdynamixdance.com

RHYTHM DYNAMIX DANCE - CONTACT FORM

Contact & General Information
(All fields in this section are required)
E-mail Address: First Name:
Last Name: City:
Prov/State: Country:
Student Age Group: Gender: Male: Female:

How did you hear about Rhythm Dynamix Dance?:

If you chose other, please specify where you heard about Rhythm Dynamix Dance:

What intrigues you to want to learn to Dance? (Include personal goals through dance):

Music Preference & Dance Habits (Optional)

What music do you listen to? (Please select all that apply):

Please specify your music preference:


How often do you go out dancing?:


When you go out dancing, on the average, how many people do you go with?

What is the make up of the group you go out with?
All Guys: All Girls: Mixed Guy/Girl


Would you attend or continue to attend an event hosted or sponsored by Rhythm Dynamix Dance?: Yes No:
Comments: