Book a Trial Form
Students Name
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DOB
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Parents Name
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First Name
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Ballet
Ready Set Ballet (Ages 2 - 5)
Pre Primary (Turning 5 or 6)
Primary (Turning 7)
Grade 1 (Turning 8)
Grade 2 (Turning 9)
Grade 3 (Turning 10)
Grade 4 (Turning 11)
Grade 5 (Turning 12)
Intermediate Foundation (Turning 13)
Intermediate (Turning 14)
Advanced Foundation (Turning 15)
Advanced 1 (Turning 16)
Which Level are you?
*
Pre School Program (Ages 2 - 5)
Petite Program (Turning 5, 6 (or in Kindergarten) & 7)
Junior Program (Turning 8, 9 or 10)
Teen Program (Turning 11, 12 or 13)
Senior Program (Turning 14 and above)
What styles would you like to take? (Petite - Senior ONLY) Please refer to the timetable on our website to help answer this question.
Kicks, Turns & Leaps (Junior - Senior ONLY)
Lyrical
Hip Hop
Ballet
Performance Team
Acrobatics
Beginner Pointe
Intermediate Pointe (At least 1 year of beginner pointe classes and own pointe shoes)
Advanced Pointe (At least 2 years on pointe)
Contemporary
Tap
Jazz
Musical Theatre
Pre School Program ONLY - What day would you like?
Friday (Ready Set Ballet & Dance 9:30am - 11am)
Saturday (Ready Set Ballet & Dance 9:30-11am)
Tuesday (Ready Set Ballet & Dance 9:30 - 10:30am)
Pre School Program ONLY - Ready Set Ballet (30mins)
Yes
No
Pre School Program ONLY - Ready Set Dance (1hr)
Yes
No
Date you would like to trial (if multiple days, pick the first day)
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Month
-
Day
Year
Date
Health and Safety - By agreeing you understand that although IPA takes all reasonable care in the conduct and safe dance of its classes that personal injury can occur and Influence PA and its staff will not be held responsible.
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