Backhausdance 2021 Summer Intensive
Faculty Availability

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Classes *

From the list below, please select the type of class you will be teaching

Modern

Contemporary Ballet

Contemporary Jazz

Composition

Improvisation

Yoga

Pilates

Gyrokinesis

Other (Please specify in space provided below.)

Divisions *

Please select all of the divisions/age groups that you are comfortable and willing to provide instruction to.

Teen (Ages 13-16)

Advanced (Ages 17-20)

Professional (Ages 21+)