Your First & Last Name
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Email
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Phone
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Dancer's First & Last Name
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Dancer's Date of Birth
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What style(s) of dance are you interested in? (Check all that apply)
Ballet
Jazz
Tap
Lyrical / Contemporary
Musical Theatre
Hip Hop
Pointe
Adult Dance Classes
Grown Up & Me (Ages 4 and under)
Intro Teen / Pre-Teen Classes
Dancer's Age Group
Ages 2-5
Ages 6-8
Ages 9-12
Ages 13-18
Ages 19+
How did you hear about us?
Family / Friend
Facebook Ad
Online Search
Community Event
Other
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Child's Name
Child's Date of Birth
Do you still have a child to take to the class?
Yes
No
Child's Name
Child's Date of Birth
Child's Age Group
Ages 2-4
Ages 5-7
Ages 8-12
Ages 13+
Do you still have a child to take to the class?
Yes
No
Child's Name
Child's Date of Birth
Child's Age Group
Ages 2-4
Ages 5-7
Ages 8-12
Ages 13+
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