FREE Trial dance lesson

Child's Name (1st Child)*

First Last

Date of Birth (1st Child)*

Gender (1st Child)*

Female
Male

Medical Information (1st Child)

Illness or injuries you child may suffer from i.e. Asthma, Diabetes, Heart Disease, Hemophilia, Allergies etc. or if your child/self is required to wear orthotics.

Trial Class Selection (Important - PLEASE READ)

For each child you will need to select one or more classes. To ensure you select the appropriate class for your child/ren please select the appropriate 'Birth Year Class Grouping' (per child). Then finally select one or more classes from the options.

Birth Year Class Groupings (1st Child)*

2014-2015 Class Selection (1st Child)*

Come Dance with Me

2012-2013 Class Selection/s (1st Child)*

Pre Junior Acrobatics
Pre Junior B Tap
Pre Junior B Ballet
Pre Junior B Jazz

2010-2011 Class Selection/s (1st Child)*

2007-2009 Class Selection/s (1st Child)*

2004-2006 Class Selection/s (1st Child)*

Intermediate A&B Jazz
Intermediate A&B Contemporary
Intermediate A&B Tap
Intermediate A&B Ballet
Intermediate A&B Hip Hop
Intermediate A&B Acrobatics
Intermediate A&B Musical Theatre

2003 or Before Class Selection/s (1st Child)*

Do you need to add another Student?

If you need to add another student check YES below else select NEXT to move to the next question.

YES

Child's Name (2nd Child)*

First Last

Date of Birth (2nd Child)*

Gender (2nd Child)*

Female
Male

Medical Information (2nd Child)

Illness or injuries you child may suffer from i.e. Asthma, Diabetes, Heart Disease, Hemophilia, Allergies etc. or if your child/self is required to wear orthotics.

Previous Dance Experience (2nd Child)

If you child is new to Do Dance Academy please advise of any prior dance experience your child has had. (Leave blank if this is not applicable).

Birth Year Class Groupings (2nd Child)*

2014-2015 Class Selection (2nd Child)*

Come Dance with Me

2012-2013 Class Selection/s (2nd Child)*

Pre Junior Acrobatics
Pre Junior B Tap
Pre Junior B Ballet
Pre Junior B Jazz

2010-2011 Class Selection/s (2nd Child)*

2007-2009 Class Selection/s (2nd Child)*

2004-2006 Class Selection/s (2nd Child)*

Intermediate A&B Jazz
Intermediate A&B Contemporary
Intermediate A&B Tap
Intermediate A&B Ballet
Intermediate A&B Hip Hop
Intermediate A&B Acrobatics
Intermediate A&B Musical Theatre

2003 or Before Class Selection/s (2nd Child)*

Do you need to add another Student?

Press NEXT if this is not applicable.

YES

Child's Name*

First Last

Child's Date of Birth*

Child's Gender*

Female
Male

Child's Medical Information:

Illness or injuries you child may suffer from i.e. Asthma, Diabetes, Heart Disease, Hemophilia, Allergies etc. or if your child/self is required to wear orthotics.

Child's Previous Dance Experience

If you child is new to Do Dance Academy please advise of any prior dance experience your child has had. (Leave blank if this is not applicable).

Birth Year Class Groupings (3rd Child)*

2014-2015 Class Selection (3rd Child)*

Come Dance with Me

2012-2013 Class Selection/s (3rd Child)*

Pre Junior Acrobatics
Pre Junior B Tap
Pre Junior B Ballet
Pre Junior B Jazz

2010-2011 Class Selection/s (3rd Child)*

2007-2009 Class Selection/s (3rd Child)*

2004-2006 Class Selection/s (3rd Child)*

Intermediate A&B Jazz
Intermediate A&B Contemporary
Intermediate A&B Tap
Intermediate A&B Ballet
Intermediate A&B Hip Hop
Intermediate A&B Acrobatics
Intermediate A&B Musical Theatre

2003 or Before Class Selection/s (3rd Child)*

Do you need to add another Student?

If you need to add another student check YES below else select NEXT to move to the next question.

YES

Child's Name*

First Last

Child's Date of Birth*

Child's Gender*

Female
Male

Child's Medical Information:

Illness or injuries you child may suffer from i.e. Asthma, Diabetes, Heart Disease, Hemophilia, Allergies etc. or if your child/self is required to wear orthotics.

Child's Previous Dance Experience

If you child is new to Do Dance Academy please advise of any prior dance experience your child has had. (Leave blank if this is not applicable).

Birth Year Class Groupings (4th Child)*

2014-2015 Class Selection (4th Child)*

Come Dance with Me

2012-2013 Class Selection/s (4th Child)*

Pre Junior Acrobatics
Pre Junior B Tap
Pre Junior B Ballet
Pre Junior B Jazz

2010-2011 Class Selection/s (4th Child)*

2007-2009 Class Selection/s (4th Child)*

2004-2006 Class Selection/s (4th Child)*

Intermediate A&B Jazz
Intermediate A&B Contemporary
Intermediate A&B Tap
Intermediate A&B Ballet
Intermediate A&B Hip Hop
Intermediate A&B Acrobatics
Intermediate A&B Musical Theatre

2003 or Before Class Selection/s (4th Child)*

Do Dance Academy | Free Trial Lesson

Step 1 of 4 - Parent Details

Trial Class Selection (Important - PLEASE READ)

Pin It on Pinterest