DWDE New Student Inquiry
Welcome to Denise Wall's Dance Energy!

Thank you for your interest in our studio. In order to facilitate your request for a tentative class schedule, please complete the following questions and hit "submit". An office associate will contact you upon reviewing the information you provide and will send you a tentative class schedule.

(ONE ENTRY PER STUDENT)
Sign in to Google to save your progress. Learn more
Email *
Parent/Guardian Contact First & Last Name:
Best contact phone #: *
Student's First & Last Name: *
Student's DOB: *
MM
/
DD
/
YYYY
Student's Current Age: *
Would you like to try a class and be evaluated for class placement? *
What styles of dance classes are you interested in trying?
Please select all that apply
Yes
No
Maybe
Ballet
Pointe (Teacher Recommendation Required)
Tap
Jazz
Contemporary/Lyrical (Teacher Recommendation Required)
Hip Hop
Adult Classes
Combo Classes (Ages 3-7)
How many total years of dance has the student studied?
Please tell us what the student has studied previously:
5+ years
3-4 years
1-2 years
None
Ballet
Pointe
Tap
Jazz
Contemporary/Lyrical
Hip Hop
Gymnastics
If currently dancing, tell us how many total hours of dance class instruction the student takes each week.
Any other comments or information about the student that would be helpful?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy