Registration Form
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Student(s) Name *
Student Age *
Parent/Legal Guardian Name
if under age of 18
Email *
Phone *
Full Mailing Address *
Which Adult Classes are you interested in taking?
Check all that you are interested in taking.  We offer more classes but these are the ones that currently have space.
Sign me up now!
Maybe
Mondays, 6pm - 7pm | Lyra w/ Carolina
Mondays, 6pm - 7pm | Jazz w/ Byron
Tuesdays, 7:30pm - 8:30pm | Aerial Inversions w/ Jill
Wednesdays, 6:30pm - 7:30pm | Silks w/ Jill
Thursdays, 6:30pm - 7:30pm | Conditioning w/ Jackie
Thursdays, 7:30pm - 8:30pm | Partner Acrobatics w/ Javier
Saturdays, 12pm - 1pm | Silks w/ Sarah
Clear selection
Which Youth Classes are you interested in taking?
Check all that you are interested in taking.  We offer more classes but these are the ones that currently have space.
Sign me up!
Maybe
Mondays, 5pm - 6pm | Dance & Silks Ages 6 - 8 w/ Carolina
Mondays, 5pm - 6pm | Silks 1 Ages 9 - 11 w/ Sarah
Tuesdays, 5:30pm - 6:30pm | Silks Ages 6 - 8 w/ Jill
Tuesdays, 6:30pm - 7:30pm | Ballet 1 & 2 Ages 9+ w/ Phillip
Tuesdays, 7:30pm - 8:30pm | Aerial Inversions w/ Jill
Wednesdays, 10:30am - 11:30am | Silks Ages 9+ w/ Jill
Wednesdays, 5pm - 5:30pm | Conditioning Ages 9+w/ Jill
Wednesdays, 5:30pm - 6:30pm | Partner Acrobatics Ages 9+ w/ Javier
Wednesdays, 5pm - 6:30pm | Ballet 3 Ages 12+ w/ Skyla
Wednesdays, 6:30pm - 7:30pm | Pointe w/ Skyla
Wednesdays, 7:30pm - 8:30pm | Hip-hop w/ Alex
Thursdays, 5pm - 6:30pm | Contemporary 3 w/ Jackie
Thursdays, 5pm - 6:30pm | Contemporary 1 & 2 Ages 9+ w/ Caroline
Thursdays, 6:30pm - 7:30pm | Silks Ages 9+ w/ Javier
Thursdays, 6:30pm - 7:30pm | Conditioning w/ Jackie
Saturdays, 9:30am - 11am | Ballet 2 w/ Skyla
Saturdays, 9:30am - 10am | Conditioning w/ Megan
Saturdays, 10am - 11am | Acrobatics w/ Megan
Saturdays, 11am - 12pm | Jazz w/ Megan
Saturdays, 12pm - 1pm | Silks w/ Sarah
Saturdays, 1pm - 2pm | Acro & Silks w/ Megan Ages 6 - 8
Clear selection
If you are new to us, what is your dance or aerial experience? *
As detailed as possible. Number of years trained, where/with whom you've trained, etc.
How would you describe your/your child’s goals in taking class at CC&DC? *
How many hours per week are in interested in taking classes? *
What specific question(s) do you have?  Please also look at our FAQs under our website under About Us, which might answer your question. *
How did you hear about CC&DC.? (can check multiple) *
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