Congratulations for selecting Palm Beach Loves to Dance for your Private Dance Lessons!!!
Please fill out this questionnaire to help me tailor a custom dance program for you, enabling you to learn to dance in the shortest time possible.
Date
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Month
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Day
Year
Date
First and Last Name
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First Name
Last Name
Cell Phone Number
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Area Code
Phone Number
How Did You Hear About Palm Beach Loves to Dance?
How Can I Best Serve You?
How Would You Describe Your level of Dance Experience?
I have little or no experience and want to learn.
I have had lessons at the other dance schools/ballrooms and I want to learn faster.
Serious Recreational Dancer and want to take my dance to the next level!
Competition Dancer interested in better technique.
Other
If any, please describe any previous dance lessons or trainings.
What are your goals for learning how to dance?
I want to learn for an upcoming wedding.
I just want to survive on the dance floor.
I want to be a competent social dancer.
I am with to learn to be able to dance with my partner.
I wish to compete in dance competitions.
Other
What are Your Favorite Sports or Activities you like to do, or used to do?
How much time per week are you willing/able to practice at home?
How Soon Would You Want to Start a Program of Dance lessons that Can Help You Achieve Your Dance Goals?
I Want to Start Now!
Within a Few Weeks.
Within 6 months.
Yes, I want to start, but I am too busy at this time.
Which types of dance are you most interest in?
To be able to simply dance at a party or wedding
Merengue
Salsa
East Coast Swing
Hustle
Other
Do you wish to learn with a partner?
Yes
No
Maybe
Small Group or Wedding Party
Other
1st Partner's Name (friend, partner or groom)
First Name
Last Name
2nd Partner's Name (friend or father of the bride if applicable)
First Name
Last Name
Do you have ANY past or present musical experience; any instrument or singing?
Are you open to learning proper dance technique to help you learn dance in less time and to help prevent common dance injuries?
Any challenges or fears you would like me to know about?
Is There Anything Else You Would Like to Share?
Congratulations, How Exciting!
Knowing your goals and experience level, I will now design a lesson plan just for you that will fast track your learning. See you soon at your first lesson! -James
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