DF Dance Youth 2019 Intake Form
Parents, please make sure to fill out this form COMPLETELY.

An administrator will call or text you to set up your childs schedule.


Info: 801.466.0490
2978 S State St SLC, UT

Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Email Address *
Your answer
Child 1- First & Last Name *
Your answer
Child 1- Date of Birth *
MM
/
DD
/
YYYY
Child 2- First & Last Name
Your answer
Child 2- Date of Birth
MM
/
DD
/
YYYY
Best day to meet with administrator to create a personalized dance plan for your child (If applicable). *
Are you interested in your child attending *
Required
Any additional comments/questions?
Your answer
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