DCP Academy Shout Out Form - Dancing Classrooms Philadelphia

DCP Academy Festival Shout-Out Form

Give a shout out to your dancer and/or to Mr. Andrew, Ms. Kate, or your DCP Academy site instructor in our Academy Festival program book at the affordable rate of $20! Each shout-out will be approximately two lines of text.

Student's Name:

Sibling's Name (if applicable):

Which Shout Outs would you like to buy?

Student Shout Out! - $20Sibling Shout Out! - $15Instructor Shout Out! - $20

I’d like to place a shout-out to a DCP Academy student - $20.00 If you have more than one child in the Academy, you may include both children within your two lines of text. If you would like a completely separate shout-out for your second child, you may place another at the discounted rate of $15.00. My text (not to exceed 200 characters, including spaces)*: *Be sure to include your child's name and how you want it signed (i.e. Love, Mom and Dad)

I’d like to place a shout-out to a DCP Academy sibling - $15.00 My text (not to exceed 200 characters, including spaces)*: *Be sure to include your child's name and how you want it signed (i.e. Love, Mom and Dad)

I’d like to place a shout-out to Mr. Andrew, Ms. Kate, or your DCP Academy instructor - $20.00 My text (not to exceed 200 characters, including spaces)*: *Be sure to include how you want it signed (i.e. From the Robinson Family)

Contact Information

First Name

Last Name

Business Name

Phone

Address Line 1

Address Line 2

City

State

Postal Code

Payment Method

CheckCredit Card

Payment Information

Name on Card

Card Number

Code

Billing Email

Checks can be made payable to:
Dancing Classrooms Philly
Attn: Academy Ad Book
4226 Spruce Street
Philadelphia, PA 19104

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Contact Information