Trial Request Form
The Dance Academy / The Parkour Academy / The Xcel Soccer Academy
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Parent's First and Last Name *
Child's First and Last Name *
Child's Birthdate *
MM
/
DD
/
YYYY
Email *
Phone Number *
Address *
Please let us know the full name of the person who referred you or brought you in as a Bring-A-Friend.
Location *
Classes Interested In *
Required
Any Comments or Questions
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