Pre-Registration Form

To better help us assist you in class placement, please fill out the form below.  We will be in touch soon to schedule a trial class.  Thanks for your interest in classes at CCD!





Student Information

First Name (required)

Last Name (required)

Age

Date of Birth

Gender
 Female Male

Has your student taken dance before?

If yes, for how many years?

Is your student currently taking dance classes?

If yes, where?

What kind of dance does your student currently take? Check all that apply.

How many hours per week does your student currently dance?

How many hours per week of ballet?

Parent/Guardian Information

First Name

Last Name

Preferred Phone (required)

Email (required)

How did you hear about us? (required)

Verification

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