New Dance Class Request Form

Preschool Director/Contact Person

First Last

Email

Phone

Name of Preschool/Daycare Center

Address

Street Address Address Line 2 City ZIP / Postal Code

Number of students at facility?

Days/Times you have available for dance class?

Choose all that apply

How soon would you like to start?

We would need some lead in time to ensure we have a staff member available at the times you request. We would also wants a few weeks of lead in time to promote the classes to your families, and give them time to register.

Method for enrollment?

Typically we like to have parents register through us on our website(s), and we manage all the accounts. They would pay the regular tuition rates. In some cases preschools prefer to handle enrollment and pay us directly. Rates will vary depending on the setup.

Name of parent who referred you to us?

We would like to reward the family that recommended us to you. Please let us know who referred us so we can give them a little prize. 🙂

Comments/Questions

How did you hear about us?

Name

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