Name
*
First Name
Last Name
Email Address
*
Phone Number
*
(###)
###
####
What is the best way and time to contact you?
How are you affiliated with the studio?
Owner
Director
Dance Teacher
Other
Studio Name
*
Type of Business
*
Sole Proprietorship
Partnership
Corporation (if so, please list type below)
Type of Corporation
Year Studio was Established
Studio Phone Number
*
(###)
###
####
Studio Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Are there multiple studio locations?
Yes
No
If yes, how many locations and where are they?
Are the studio premises leased or owned?
Leased
Owned
Does the studio have liability insurance?
Yes
No
What insurance company is used?
Is the studio currently a party to any litigation, settlement negotiation, mediation, court proceeding, legal motion or any other material proceeding? If yes, please state details.
What types of dance are taught at the studio?
Current Number of 3- to 9-Year-Old Students
Please describe your dance studio rooms (number of rooms, size, type of floor, mirrors, barres, etc.)
Current Number of Teachers for Ages 3-12
What are the typical qualifications and backgrounds of teachers for ages 3-12?
Do the teachers have criminal background checks?
Yes
No
From which local markets do you draw students?
What marketing methods do you use for your studio?
How did you learn about Leap 'N Learn?
Online Search
Word of Mouth
Website Referral
Advertisement
Workshop/Event
Social Media
Other
Why do you think Leap 'N Learn would be a good program for your studio? How do you think you would benefit from Leap 'N Learn?
Would you like to subscribe to Leap 'N Learn's email list to stay updated on exciting news, useful information, and teaching tips?
Yes Please
No Thanks