Class Interest Form
Student Name *
Your answer
Student Age *
Your answer
Parent/Legal Guardian Name
if under age of 18
Your answer
Email *
Your answer
Phone *
Your answer
What classes are you/your child interested in taking with us? *
(check all that you are interested in taking)
If you are new to us, what is your dance or aerial experience? *
As detailed as possible. Number of years trained, where/with whom you've trained, etc.
Your answer
How would you describe your/your child’s goals in taking class at CC&DC? *
How many hours per week are in interested in taking classes? *
How did you hear about CC&DC.? *
Your answer
When are you interested in beginning classes? *
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