PREMIER DANCE CENTRE

ADULT BALLET REGISTRATION AND SURVEY

Full Name

Email

Phone

Age

Current Class Registration

Please select if you would like to enroll in our currently scheduled Adult Ballet Class.

SATURDAY

Saturday | 10:00–11:00 AM — Adult Ballet & Stretching/Conditioning

Multi choice

Tuesday | 10:00–11:00 AM

Friday | 10:00–11:00 AM

Either Tuesday or Friday morning works for me

I am only interested in the Saturday class

I would prefer another day/time

If you selected another day/time, please tell us what would work best for you:

How did you hear about Premier Dance Centre?

Is there anything else you would like us to know?