Breaking Ground Dance Center Chapter-Pledge Form

This form must be completed before December, 1st. Membership includes dues to the NDEO and administrative costs.

Membership Level *

New Member - $130

Renewing Member - $110

Graduating Senior - $120 (includes honor cords for graduation)

Pledge's Full Name *

Pledge's Email Address *

Academic School *

Grade for 2024-2025 School Year *

Freshman

Sophomore

Junior

Senior

Most Recent GPA (grade point average) *

Current Dance School *

Number of years dancing *

Number of days per week this year that you are dancing *

Parent's Full Name *

Parent's Email Address *

Parent Cell Phone Number *

Essay (Please write a short 100-word essay on why you want to be a member of the NHSDA and how you think the membership will benefit you. Copy & paste here) *

T-shirt/Sweatshirt Size *

Adult Small

Adult Medium

Adult Large

Adult Extra Large

Sell Products *

NHSDA- New Member

$130

NHSDA- Returning Member

$110

NHSDA-Senior

$120