Parent's Details

Parent's First Name *

Parent's Last Name *

Parent's Email *

Parent's Phone *

Student's Details

Student First Name *

Student Last Name *

Current Class Level *

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Petite
Mini
Junior
Teen
Senior
Other
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Lesson Focus *

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Ballet
Pointe
Jazz
Tap
Acro
Contemporary
Lyrical
Hip Hop
Other
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Lesson Length *

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30 minutes
60 minutes
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Preferred Instructor *

Preferred Days/Times *

Mon 1:00 PM - 3:45 PM

Mon 7:45 PM - 9:45 PM

Tue 1:00 PM - 3:45 PM

Tue 7:45 PM - 9:45 PM

Wed 1:00 PM - 3:45 PM

Wed 7:45 PM - 9:45 PM

Thu 1:00 PM - 3:45 PM

Thu 7:45 PM - 9:45 PM

Fri 1:00 PM - 7:45 PM

Sat 12:30 PM - 5:00 PM

Sun 9:30 AM - 5:00 PM

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