ContactForm

Preciado's Ballroom Dance Studio's
Dance Evaluation Sign Up Form!

Name:	Daytime Telephone # :
Address:	Evening Telephone #:
City:	State:
Zip Code:	E-Mail Address:

Why have you decided to improve your dancing at this time?:
What do you feel is missing in your dancing now?:
How good of a dancer do you want to be? (check all that apply):	Try out the competition floor. Stand out in a crowd. Dance confidently and comfortably with anyone.
How important is it to you to have rhythm and style in your dancing? (choose one):	Very important (I don't want to look bad) Moderately important Not very important
What benefits do you hope to gain from dancing? (check all that apply):	Increase self-confidence Become more graceful and poised Improve physical health and state of mind Overcome shyness Escape from daily demands Improve social life and have more fun Make a special person happy Impress potential partners Improved business etiquette Meeting people and making new friends Look great at weddings, special functions and social events
What days are best for you to take classes (check all that apply):	Monday Tuesday Wednesday Thursday Friday Saturday Sunday
What times are best for you to take classes (check all that apply):	12:00 PM 01:00 PM 02:00 PM 03:00 PM 04:00 PM 05:00 PM 06:00 PM 07:00 PM 08:00 PM 09:00 PM
How did you hear about us? (check all that apply):	Gift Certificate Received E-mail Offer! Student Referred Me Saw Sign In Front Of Building Saw Billboard Truck On Street Santa Clarita Free Classified Yahoo Search Engine Google Search Engine Bing Search Engine Facebook Magazine Of Santa Clarita Look Magazine Inside Santa Clarita Valley Magazine LifeStyle Magazine At&t Yellow Pages Yellow Book Phone Book Movie Theaters Valencia Movie Theaters Canyon Country
Besides dancing, I also enjoy?: