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Adult Class Registration - Silks
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* Indicates required question
Email
*
Your email
Student's full name
*
Your answer
Students Contact Number
*
Your answer
Students Age
*
Your answer
Students Birthday
*
MM
/
DD
/
YYYY
Emergency contact name
Your answer
Emergency contact number
Your answer
Students Skill Level (this is just to give us an idea of level; does not affect class placement)
*
Beginner - first time!
Intermediate - (at least 1 year)
Advanced (3+ years)
Required
Students Intentions (we understand this can/may change over time, we're just wondering)
*
A fun + exciting way to exercise (recreational)
I hope to perform one day
I hope to compete one day
I don't know yet!
Does the student have any injuries or medical conditions?
*
Your answer
Does the student have any allergies?
*
Your answer
Does the student have asthma?
*
Yes
No
Other:
I want to register for:
*
Beginner Series - Mondays 6:15 - 7:15pm
Beginner Series - Thursdays 5-6pm
Conditioning + Skills class pass
Choreography Season pass
Required
My ideal class day(s) + times(s) are:
Your answer
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