Request a Free Trial Class

First Name *

Main Contact/Guardian First Name

Last Name *

Main Contact/Guardian Last Name

Email *

Phone *

Adult or Child Student

Registering as an adult student

Registering for a child student

Dance Style Interested In

Daytime or Evening

Daytime Classes

Evening Classes

Child's Name

Child's Age Group

Ages 3-4

Ages 5-6

Ages 7-9

Ages 10-12

Ages 13-18

[Child] Dance Style Interested In

Do you have another child wishing to try a class?

Yes

No

[2nd] Child's Name

[2nd] Child's Age Group

Ages 3-4

Ages 5-6

Ages 7-9

Ages 10-12

Ages 13-18

[Child 2] Dance Style Interested In

Do you have another child wishing to try a class?2

Yes

No

[3rd] Child's Name

[3rd] Child's Age Group

Ages 3-4

Ages 5-6

Ages 7-9

Ages 10-12

Ages 13-18

[Child 3] Dance Style Interested In

Do you have another child wishing to try a class?3

Yes

No

[4th] Child's Name

[4th] Child's Age Group

Ages 3-4

Ages 5-6

Ages 7-9

Ages 10-12

Ages 13-18

[Child 4] Dance Style Interested In

Preferred contact method for scheduling trial *

Phone

Email

I agree to terms & conditions provided by the company. By providing my phone number, and email address I agree to receive text messages & emails from the business.