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Conservatory Class Assessment

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Student Name *

First

Last

Age *

How long has the dancer been dancing? *

Does your dancer have pointe experience? If so, how long? *

Current/Past Dance Studio *

How many dance classes is the dancer currently taking (per week)? *

What forms of dance training does the dancer have? *

Whom should we contact to schedule this assessment? *

Please provide us with an email address to schedule this assessment. *

Please provide a phone number so that we can contact you to schedule this assessment. *

Is there anything else you would like us to know prior to the assessment?

What is the students short-term dance related goal? *

What is the students long-term dance related goal? *

Please tell us where you heard about Colorado Conservatory of Dance. (Check all that apply.) *

Google/online search
Our Broomfield
Colorado Parent Magazine
Broomfield Enterprise
Quality Connections
Broomfield Lifestyle Magazine
Boulder Ballet/Boulder Phil Playbill
Colorado Ballet Playbill
Dance/Point Magazine
Yelp
Event
CCD Performance
Facebook/Instagram
Other
Referral/Word of Mouth

Please share with us the name of your referral so we can credit their account. Thank you.

Name

3001 Industrial Lane, #12
Broomfield, CO 80020
303.466.5685

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REMINDER: Spring Break is March 20-25, and there will be no conservatory or adult classes. CCD will be closed.
Classes and office hours resume Monday, March 27th at 11am. Happy Spring!