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Pilates for Dancers July-August 2023
Please fill out a separate form for each potential student. If question does not apply please answer NA.
Classes will be available July 10th - August 18th.
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Email
*
Your email
Student Name
*
Your answer
Student Phone if applicable
*
Your answer
Student email
*
Your answer
Student DOB
*
MM
/
DD
/
YYYY
Student height
*
Your answer
Please briefly describe your dance experience.
Your answer
Parent Name (if student is under 18)
*
Your answer
Parent Phone
*
Your answer
Parent email
*
Your answer
Class times available. Please check ALL that could work for you.
*
8:00-8:55am
9:00-9:55am
10:00-10:55am
Not available
Monday
Tuesday
Wednesday
Thursday
Friday
8:00-8:55am
9:00-9:55am
10:00-10:55am
Not available
Monday
Tuesday
Wednesday
Thursday
Friday
Please let me know what weeks you are available
*
Available
Not Available
July 10 - July 14
July 17- July 21
July 24- July 28
July 31- August 4
August 7- August 11
August 14- August 18
Available
Not Available
July 10 - July 14
July 17- July 21
July 24- July 28
July 31- August 4
August 7- August 11
August 14- August 18
Please tell me something about your goals.
*
Your answer
Please list in order of most important to least, what is most important to YOU, strength, flexibility, or balance?
*
Your answer
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