Wheelchair Dance

Practices: April 22, 24, & 29

Time: 7 pm

Location: Solheim Elementary School

Performance: May 3 at Shiloh

Christian School; Times TBD

First name*

Last name*

Email*

Phone*

Are you a*

Participant

Volunteer

Will you participate using*

Dreams Chair

Personal Manual Wheelchair

Personal Power Wheelchair

N/A (Volunteer)

Is this your first event with Dreams this calendar year?*

Yes

No

Age*

Youth/Minor

Adult

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