1916 Central Avenue (2nd Floor), Kansas City, KS 66102 ~ Office/Message - (913) 281-5193

Web Address - www.jnealdance.com ~ Email Address - keydancer@jnealdance.com

June Neal Dance Studio

"The Spirit of DANCE"

June Neal Dance Studio, 2010 Copyright

Online Request Form for Studio Performance

Organization Name

Event / Program Name

City, State, & Zip Code

Type of Event / Program

Event /Program Address

Contact Person

Tap

Jazz / Hip-Hop

Time

Contact Number

Liturgical / Praise

Solo / Individual

Duet / Trio

Type of Dancer(s)

Small Group (5-8)

Request Advisement:  All June Neal Dance Studio performers range between the ages of 12 and 17.  Performance request are accepted based on the nature and/or maturity of the event/program.  The studio does not charge a fee for our students to perform at accepted performance events/programs within 25 mile of the studio.Travel and/or lodging fees for performances more than 25 miles away from the dance studio may be assessed and charged to the requesting organization; quoted fee must be recieved by the studio no later than 2 weeks before the performance.

Ballet / Lyrical

Type of Dance Style

Date