Youth Trial Class & Consultation Form

Child Full Name

Age

Parent/Guardian Full Name

Email Address

Phone Number

Has your child taken dance classes before?

Yes No If yes, please list style(s) and approximate experience

What has your child enjoyed most about previous dance or movement classes?

Preferred days

Weekdays Saturday Sunday

Preferred time

Morning (a.m.) Afternoon (p.m.)

Specific times that work best

For Beginners

Music and rhythm

Moving and having fun

Making friends and feeling comfortable in a group

(select all that apply)

For Children with Dance Experience

Performing and expressing through movement

Arm styling and upper-body coordination

Body movement, posture, and alignment

Flow, fluidity, and plasticity of movement

Footwork and basic technique

(select all that apply)

Any physical considerations, allergies, or information we should be aware of?

What are you hoping your child will gain from dance at this stage?

Every child develops at their own pace. This form helps us create the best possible experience for your child.

* I have read, understand and agree to the YOUTH BALLROOM CONSENT POLICY