WSPA Student Prospect/Placement Form

West Seattle Performing Arts/ WSPA

Christine Juarez Executive Artistic Director/Armando Juarez CEO/CFO
WSPA Student Prospect/Placement Form

Please fill in the form below and email it back to: wspaoffice@gmail.com questions; 206-519-0770 or Front Desk 206-935-3777. We understand you may be trying a class or might want suggestions as to what class to registrar. This form is only to gather your information to contact you about placement. WSPA will add you to our email list. Please let us know if you DO NOT WANT TO BE ADDED TO OUR EMAIL.
My Student/Myself are interested in trying the following class/es:

Welcome to WSPA!
Class/ess I would like to try:
Student Full Name*

PrefixFirst NameLast Name
Student Birthdate ( Students under 30 yrs only)

MonthDayYear
Date
Date to try class:

MonthDayYear
DateHourMinutesAM/PM Option
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guardian Name*

PrefixFirst NameLast Name
Primary Phone Number*

Area CodePhone Number
Alternate Phone Number*

Area CodePhone Number
Primary E-mail*
Please note any prior dance experience, age at the time of training, class disciplines, studio, if applicable.
Please note question(es) you may have.
Should be Empty:

West Seattle Performing Arts/ WSPA