CCF Day of Dance Dancer Registration - Carole Cascio Fund for Mind Movement Dance Connections

Carole Cascio Fund’s Day of Dance at the Eastern Shore Arts Festival
Classes & Performance Registration Form

Please complete the form below to register for any of the free classes during the Day of Dance and as a Performer on Stage on Saturday, April 22, 2023.

Day of Dance classes will be held in the DANCE STUDIO, located in the HPAC (Health Professionals and Athletic Center) Room 103

A Day of Dance performances for the Eastern Shore Arts Festival will be held on stage at the Todd Performing Arts Center on the campus of Chesapeake College

If you have any additional questions, please contact Peter Pucci at ppucci@carolecasciofund.org

First Name

Last Name

Which School are you affiliated with?

Please choose the classes you are interested in attending on Saturday, April 22rd You may take as many classes as you would like, registration is limited of 25 participants per class.

Modern Dance Hip Hop Performer on Stage

You must accept the terms below to submit your registration

I understand the risks of physical injury inherent in dance and dance training, and I fully assume those risks while participating in the Day of Dance. I agree to indemnify, defend, and hold harmless the Carole Cascio Fund and Chesapeake College, their sponsors, agents, employees, and their representatives from and against all claims, damages, suits, liabilities, losses, and expenses arising or resulting from any injury or loss of personal property. This includes claims for negligence.

Media Release

I authorize the Carole Cascio Fund and Chesapeake College, to use and publish photographs of me and/or my child in any media published by or under its authority.

Carole Cascio Fund’s Day of Dance at the Eastern Shore Arts Festival Classes & Performance Registration Form

Carole Cascio Fund’s Day of Dance at the Eastern Shore Arts Festival
Classes & Performance Registration Form