Please fill out the following form as thoroughly as possible to start the process of applying for a Leap 'N Learn license for your dance studio. If you want to speak directly to us about any questions, please contact us at (888) 211-5180 or at

Your Information
Name *
Phone Number *
Phone Number
How are you affiliated with the studio?
Studio Information
Type of Business *
Studio Phone Number *
Studio Phone Number
Studio Address *
Studio Address
Are there multiple studio locations?
Are the studio premises leased or owned?
Does the studio have liability insurance?
Class Information
Staff Information
Do the teachers have criminal background checks?
Marketing Information
Leap 'N Learn Information
How did you learn about Leap 'N Learn?
(Please list website or friend referral, type and place of advertisement, workshop/event name, details on other, etc.)
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