Virtual Programs Interest Form

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Home
About Us
Programs
Financial Aid
Partnerships
Support BBK
- Giving Tuesday 2022
- Donate

Virtual Programs Interest Form

* Indicates required field

Student's First Name *

Student's Last Name *

Parent/Guardian's First Name *

Parent/Guardian's Last Name *

Email Address *

Phone Number *

Number of children for whom you're seeking programming *

Age of student(s) (select all that apply) *

3-4 5-6 7-8 9-10 11-12 13-15 16-18 Family Classes

Are you already in a BBK program? *

Yes No

If yes, which school & program are you enrolled in? *

The information below is optional. We are creating our programming to suit the needs of our community so please let us know what types of programming you’re interested in.

Are you interested in private coaching for your child(ren)? *

Yes No Possibly

Types of Private Coaching (select all that apply) *

Monologue Vocal Dance

Types of Classes (select all that apply) *

Jazz Hip-Hop Ballet Tap Theatre Dance Creative Movement Create a Musical Musical Theatre Master Class with Broadway Performer Yoga

How did you hear about us? *

Are there any other programs you would like to see or anything else you’d like to share? *

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Email *

How would you best describe yourself: *

Parent Supporter Prospective Employee Volunteer Other (please specify below)

If other, please specify: *

I agree to receiving marketing and promotional materials *

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