Fireworks Dance Center - Student Inquiry Form
Welcome to Fireworks Dance! We Love To See You Shine!
Please complete this short form to schedule your trial class. You will receive a confirmation email. We look forward to seeing you at the studio!

Dance. Friendships. Community. Kindness. Education. Fun. You Belong Here. Fireworks Dance Center
Parent Full Name *
Your answer
Parent Email Address *
Your answer
Parent Phone Number *
Your answer
Street Address *
Your answer
Street Address 2
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Student Full Name *
Your answer
Student Birthdate *
MM
/
DD
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YYYY
How did you hear about FDC? (check all that apply) *
Required
Class Name you would like to try *
Your answer
Date/time you would like to attend class *
Your answer
Any additional questions for us before you arrive?
Your answer
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