School Name
Address
Director
Phone Number
Email Address
What day(s) of the week would you prefer to have your class(es)?
Tuesday
Monday
 Wednesday
Thursday
 Friday
Classes are a half hour.  What time would you like your first class to begin?
What type of class are you requesting?
Music
Gymnastics
 Creative Movement
 Dance a Story
Yoga
What date would you like to begin?
Comments
Class Request Form
This form should be filled out if you have already decided you want classes
at your school and you want to confirm availability for the day and time that a
Leapsmart teacher can come to your school.