Groups Form

Group Inquiry Form
Contact Person Name*

First NameLast Name
School/Organization Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Dates of Visit to Peridance (Start to finish)*
Number of Participants in Group:*
Age Range of Participants:*
Approximate Experience Level:*
Interested in:*
For reference, please look at our daily open class schedule HERE. Our groups coordinator will reach out to you to help determine your class schedule.
Dance Discipline Preference:
Preferred Instructor (If known):
Additional notes:
Studio Info:

126 East 13th Street New York, NY 10003

Tel: 212-505-0886
Additional requests/questions:
Should be Empty:

Group Inquiry Form