JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Shoe Order Form
**PLEASE REFER TO THE SIZING/PRICE CHART BELOW AND FILL OUT ALL REQUIRED INFORMATION**
Sign in to Google
to save your progress.
Learn more
* Indicates required question
SHOE SIZE/PRICE CHART
TODAY'S DATE
*
MM
/
DD
/
YYYY
STUDENT NAME-AGE-CLASS DAY/-TIME
*
Your answer
Tap (White MaryJane) Ages 2-5
Choose size (Child sizes add two(2) sizes to street shoe size)
Your answer
Tap (Black Jazz Tap Shoe) Ages 6-18
Choose size (Child sizes add two(2) sizes (Adult is true to size)
Your answer
Ballet (Pink No-tie Leather) Ages 2-5
Choose size (Child sizes add two(2) sizes to street shoe)
Your answer
Ballet (Pink Leather Split Sole) Ages 6-18
Choose size (Child sizes add two(2) sizes - Adults add one (1) to street shoe size)
Your answer
Jazz Shoe
Choose size (Child sizes add two (2) - Adult is true to size)
Your answer
Modern/Lyrical Shoe
Choose size (Refer to chart)
Your answer
Hip Hop Sneaker (Ages 4-8)
Choose size (Order two (2) sizes larger than street shoe size)
Your answer
Hip Hop Sneaker (Ages 9 and Up)
Choose size (Refer to chart above)
Your answer
Contact info
Your name
*
Your answer
Phone number
*
Your answer
E-mail
*
Your answer
Preferred contact method
*
Phone
Email
Required
Payment method (Credit Card / Zelle / Check)
Zelle (Depending on your bank institution, we are
rooftoprhythms@gmail.com
and/or Rooftop Rhythms Dance, Inc.
Credit Card (You may enter your information on this form or email us with a convenient time to take your information over the phone)
Check (Please make check payable to Rooftop Rhythms Dance, Inc.)
Clear selection
Credit Card Info (Please include cc#/expiration/cvc)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
