Homeschool Request Form
Contact Name
*
First Name
Last Name
Contact Phone Number
*
Format: (000) 000-0000.
Dance Style Requested
*
Please Select
Ballet
Jazz
Modern
Combination of Styles
Day of Week Requested
*
Monday
Tuesday
Wednesday
Thursday
Friday
Age Range of Students
*
Ages 5-8
Ages 9-12
Ages 13+
How Many in Your Group?
*
Start Date Requested
*
/
Month
/
Day
Year
Date Picker Icon
Number of Sessions (Weeks) Requested
*
$65 per session per group, if you select 5 sessions, your class would run for 5 weeks for a total cost of $325 for your group of 4-8 students - payment options are available.
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