Fill out the following form and we will get back to you within 3 business days. Categories with a * by them are required, and you must provide either your email address or your phone number so we can get back to you. None of the info from this form will be given to a third party without your consent.

* Full Name:
* Email:
* Phone Number:	- -
Contact Preference:	Email Phone
Age Range:	3-5 6-8 9-10 Older
Years of Dance Experience:	1-2 3-4 5+
In addition to ballet, what other courses would you be interested in? Check all that apply:	Jazz Modern Hip-Hop 1 Hip-Hop 2 Tap 2 Musical Theatre Dance Adult Beginner Ballet
Message:

Kate Riegler, A.R.A.D., Director

Credo Dance Academy

931 S. Kickapoo, Springfield MO, 65804

kate@credodance.com

(417) 496-9527