Private Coaching/Mentorship Program
Inquiry Form
Dancer
Basic Contact Information
Name
*
First Name
Last Name
Age
*
Parent/Guardian Name (if under 18)
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
School Name
*
Type N/A if not applicable
School Grade Level
*
Middle School
High School
College/University
Not currently enrolled
Homeschooled
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Dancer Background
How many years of dance training do you have?
*
< 1 year
1-2 years
3-5 years
6+ years
What styles of dance have you studied? (Check all that apply)
*
Ballet/Pointe
Modern/Contemporary
Jazz
Street Styles (Hip Hop, Street Jazz, Jazz Funk, Heels, etc)
Musical Theater
Other
If you selected Other, please specify:
What level of training do you currently consider yourself?
*
Beginner
Intermediate
Advanced
Pre-Professional
Home Dance Studio Name
*
Type N/A if not applicable
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Dancer Goals/Interests
What are your primary goals for private coaching/mentorship? (Check all that apply)
*
Improve technique in a specific style
Build confidence as a performer
Prepare for auditions (e.g., schools, companies, summer intensives, productions, etc)
Develop artistry and personal expression
Increase flexibility and strength
Prepare for upcoming performance/competition
What professional or academic dance opportunities are you working toward?
Performing Arts High School
College/University Dance Program
Commercial Dance Career
Musical Theater Production
Dance Company
Other
If you selected Other, please specify:
What do you feel are your strengths as a dancer?
What areas would you like to improve on most?
Do you have any physical limitations/injuries we should consider?
*
Yes
No
If Yes, please explain:
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Scheduling/Availability
What is your preferred schedule for private coaching? (Check all that apply)
*
Weekdays (morning)
Weekdays (afternoons)
Weekdays (evenings)
Weekends (mornings)
Weekends (afternoons)
How often would you like to have sessions?
*
Weekly
Bi-Weekly
Monthly
What is your preferred format for training?
In Person
Virtual
Both
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