The 3rd Annual Banyan Spring Dance for Neuro-Diverse Adults – Mark Your Calendar!

May 17 @ 6:30 pm - 9:00 pm

Mark your calendar and join us for the Banyan Odyssey’s 3rd Annual Spring Dance!

We have grown! This year our Special Needs Friends of the Banyan will meet in Belleair Bluffs for dancing to the DJ, snacking on finger foods and making memories with friends!! There will be ‘magical’ moments at this year’s event including a Men & Womens’ Dance-Off Contest and special guests!

Where: The Belleair Bluffs City Hall, 2747 Sunset Blvd, Belleair Bluffs FL 33770 (located near the E&E Steakout Grill Restaurant off of Indian Rocks Rd)

When: Saturday, May 17, 2025

Time: 6:30pm – 9:00pm

Attire: Dressy

Registration: It is important to Pre-register for this event! To Pre-register complete the form below and click “submit”. Note: If you have more than one participant planning to attend, complete the form and submit for the first, refresh this page and then complete and submit the form for each additional participant.

PRE-REGISTRATION: DANCER PARTICIPANT INFORMATION FORM

Banyan Dancer Registration Form

Person Completing this Form:(Required)

Relationship to Participant:(Required)

Phone:(Required)

Email(Required)

Participant’s Name:(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Participant’s Age:(Required)

Gender:(Required)

List Food Allergies and/or Dietary Restrictions:(Required)

If Information is Provided Above, is the Participant Aware of any Food Allergies and/or Dietary Restrictions? Click One:(Required)

Yes

Emergency Contact:(Required)

Relationship:(Required)

Emergency Contact Phone:(Required)

Is Special Assistance Required? If Yes, Please Explain:

Is the Participant Bringing Their Own Dance Partner:

Yes

If Yes, Please Provide the Partner’s Name Here:

Note: The Partner MUST REGISTER SEPARATELY To Attend.

Photo Release [You Must Read and check the below box for the Participant to Be Able to Attend] I give my consent for the Participant mentioned above to be video recorded and/or interviewed by representatives from the media or The Banyan Odyssey. I authorize the use and reproduction by the Banyan Program or anyone authorized by them of any and all photographs/video recordings taken of participants, without compensation to myself. All of these photographs/video recordings shall be the property, solely and completely, of The Banyan Odyssey. I waive any right to inspect or approve the finished photographs/video recordings and the soundtrack, script or printed information that may be used in conjunction with them (unless I expressly specify my desire to do so in advance of publication). This consent is expressly intended to forever release from liability all personnel, agents, designees and persons associated with The Banyan Odyssey, the photographers and all personnel of the publication or television media, and as continuing in nature without limitation or restriction, specifically including but not limited to time.

Name of Person Giving Consent(Required)

Name of Person Giving Consent

for

Participant’s Name(Required)

Participant’s Name

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Details

Date:: May 17
Time:: 6:30 pm - 9:00 pm
Event Categories:: Featured, Social Outing
Event Tags:: Banyan Odyssey, City of Belleair Bluffs, dance, Friends of Banyan, Neurodiverse, special needs, Special Needs Adults

Venue

: City of Belleair Bluffs Town Hall
: 2747 Sunset Blvd
Belleair Bluffs, FL 33770 United States + Google Map
: View Venue Website