Parent Name *

First Name

Last Name

Parent Phone *

(###)

###

####

Student Name *

First Name

Last Name

Student Age *

3-5

6-8

9-11

12+

Does The Student Have Any Prior Dance Training? *

Yes

No

Class of Interest *

Ballet

Conditioning

Contemporary

Hip Hop

Hip Hop & Grooves Styling

Jazz

Kids Bachata

Latin Shines

Lyrical

Stretch

Tap

Tricks & Turns

Tumbling