Request edit access
Youth Ballroom Registration 2025-2026
Thank you for your interest in joining our Youth Ballroom class! 
Classes will be on Thursdays 8-9pm starting 9/4/25
This year will be 1 combined beginner/intermediate class that will include technique and performance.
Let us know if you have any questions!
Contact: cedarcityballroom@gmail.com (or find us on Facebook and Instagram)
Sign in to Google to save your progress. Learn more
Email *
Student Name *
Student Age: *
Student Email (to access videos and practice material. Parents will also be sent an invite to access so it’s okay if the child doesn’t have an email.)
Does the student have any dance experience? *
If yes, what style and how many years?
Parent Name *
Parent Phone Number *
Parent Email (to receive tuition invoices): *
Please click the following link to view the program's Expectations Agreement: *
Required
Tuition is $15 per class and will be charged via Square invoice at the beginning of each month.
I agree to pay tuition at the beginning of each month via Square invoice.
*
Required
I grant Date Night Dancing permission to photograph and/or video my child in class for media marketing and advertising. No names will be included. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report