EARTH DANCER SCHOOL / Dance Class Pre-Registration at EarthDancer.net
Hello and welcome to the Earth Dancer School! Your pre-registration will be promptly received and assist us in placing your dancer(s) in class(es).
How did you hear about us?
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Please Select
Referred by a friend
Referred by a current student
Guest at our recital
Earth Dancer on FB
Saw a community performance
Flyer in the community
Sign at our Earth Dancer School
Web search
Other
Referred by
Did a friend refer you? Please let us know so we can thank them!
Parent's Name: First, Last
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Custodial parent in charge of tuition payments.
First Dancer's Name
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If more than one child, please list each separately.
First Dancer's Age, Grade
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Second Dancer's Name
Second Dancer's Age, Grade
Third Dancer's Name
Third Dancer's Age, Grade
What do you want to gain as a result of taking dance?
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Grace, Poise, Posture
Increase Confidence
Make Friends & Have Fun
Exercise, Flexibility, Strength
Performance Opportunities
Some Serious Dance Skills
Have you danced before?
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Please Select
Yes
No
How long have you danced?
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Please Select
This will be my first class
Attended a Preschool Class
1 year
2 years
3 years
4 years
5 years
More than 5 years
If you have taken classes previously, what styles of dance did you study?
Ballet
Pointe
Lyrical/Modern/Contemporary
Tap
Jazz
Tumbling
Skill Builders
Private Classes
If you have taken classes previously, where did you study dance?
If you are new to our school, what were some things you liked at your last school?
Classes of Interest
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Tiny Toes for Toddlers
Les Petites for Preschoolers
Tiny Tap & Tumble for Preschoolers
Ballet (required of all dancers age 5 and up)
Pre-Pointe
Pointe
Contemporary (Lyrical/Modern)
Tap
Hip-Hop / Pop / Jazz
Skill Builder Classes
Trick & Tumble
Musical Theater
Private Class
Workshops
Dance Club performance team (light commitment)
Free Spirits Dance Company performance team
Email Address
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Primary Phone
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Please Select
Home
Mobile
Work
Number
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Additional Phone
Please Select
Home
Mobile
Work
Number
Mailing Address
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Town of Residence
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State
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Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
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Do you have any questions for us?
Submit Form
Thank you! We will be in contact with you soon and look forward to you joining our dance family for year of joyful dancing! You can learn more about us at EarthDancer.net
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