| Username |
Sankofa
|
| First Name |
Dr. Benita Junette
|
| Last Name |
Brown
|
| Display First Name |
Dr. Benita Junette
|
| Display Last Name |
Brown
|
| Birthday |
April 28
|
| T-Shirt size |
M
|
| Have you ever enrolled in a MAK3, DMX, X-Factor, or Dance Doctor Class or Workshop? |
No
|
| I have never taken a MAK3/DMX class |
I have never attended
|
| Interest (check all that apply) |
Northeast Region Dance
|
| Terms of Use acknowledgment |
Yes
|
| Privacy Policy acknowledgment |
Yes
|
| Phone |
8042431187
|
| City (required) |
Philadelphia
|
| State (required) |
PA
|
| Country (required) |
United States
|
