When completing this form please complete each box, if a question is not applicable please use N/A or NONE. An * denotes a required field Today's Date * Name of Group * Group Size * Average Age * under 12 years * Name of Group Representative * Mailing Address * City * State *Zip * Country if not US Contact Phone * (area code first) Home Work Cell Fax # e-mail address * Projected Date of Arrival * Projected date of Departure Classes of Interest Ballet Jazz Tap Modern   Other Teacher Requests Additional Comments