School Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Point of Contact *

First Name

Last Name

Does your school currently offer after-school enrichment programs?

yes

no

Preferred Day(s) for Dance Classes (select all that apply) *

Tuesday

Wednesday

Thursday

Preferred Time Slot *

Before School

During School

After School

Grade Levels You'd Like to Include *

Kindergarten-2nd Grade

3rd-5th Grade

Which dance style(s) are you interested in offering? *

Ballet (60 mins)

Creative Movement (45 mins) *preschool only

Ballet (30 mins) / Jazz (30 mins)

Ballet (30 mins) / Modern (30 mins)

Ballet (30 mins) / Tap (30 mins)

Ballet (30 mins) / Hip Hop (30 mins)

How many students do you anticipate enrolling in the class?

5-10

10-15

15-20