EBA Free Trial Dance Class Sign Up Form
We are so excited that you're interested in our school! Please complete this form and our staff will be in touch with the details for your free trial class! If you have any questions regarding the free trial class, please email malissa@emeraldballetacademy.com or go to our Free Trial Information Page for more details. 


Part 1: Dancer and Contact Info
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Email *
Dancer's First and Last Name *
Dancer's Birthday *
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Dancer's grade and school *
Parent First and Last Name
Contact Phone *
Mailing Address *
How did you hear about EBA? (If you are referred by a friend, please write your friend's name) *
Does the dancer have any injuries or health concerns that you would like our instructors to be aware of? *

Name of previous dance school (if any):

How many days/hours per week does your child currently dance (if any)?
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