Name *

First Name

Last Name

Phone Number *

(###)

###

####

Preferred Contact Method *

Email

Phone Call

Test Message (data and carrier charges may apply)

Who will be dancing? *

Check all that apply.

Child

Teenager

Adult

Multiple Children

The Whole Family

Have you, or your family, ever taken a Highland Dance class before? *

No, this is all new!

Heard of it but never tried it

Tried it a long time ago

Currently active in the Highland Dance community and looking for a new teacher