Expression of interest
Complete the form below to express your interest for our dance classes in 2024!
Student's Name:
*
First Name
Last Name
Student's Date of Birth
*
/
Day
/
Month
Year
Date
Parent's Name:
First Name
Last Name
E-mail Address:
*
Confirmation Email
example@example.com
Phone Number:
*
-
Area Code
Phone Number
Which class/classes are you interested in?
*
4-6 years
9-12 years
7-8 years
13-17 years
Ladies (18-70 years)
How did you hear about us?
*
Billboard
Insta
Facebook
School
Word of mouth
I'm from another Club
Other
Submit Application
Should be Empty: