7-Day Class Pass Request

Teens & Seniors

Ages 12-18

Born on or before September 1, 2014

We’re glad you’re here and ready to get started. Please complete the form below so we can recommend the best-fit class options for your dancer. Once submitted, our front desk team will follow up via text to confirm availability and next steps.

Parent/Guardian First Name *

Parent/Guardian Last Name *

Email *

Phone *

Dancer's First Name *

Dancer's Last Name *

Dancer's Date of Birth *

Dancer Gender *

Does your dancer have previous experience? *

Select number of years of previous experience.

Choose your first class below. Classes marked with an * are designed for students with 2+ years previous experience.

Summer Accelerated Tap 10-18 Mon 3:30 PM LOS AL Shawn*

Summer Ballet Int / Adv 10-18 Mon 4:30 PM LOS AL Mychelle*

Summer Beginning Teen Jazz Fusion 11-18 Mon 6:30 PM LOS AL Annie

Summer Jumps & Turns Int / Adv 10-18 Mon 6:30 PM LOS AL Izzy*

Summer Flex + Tech 11-18 Sat 9:00 AM LOS AL Izzy*

Summer Community Ballet 10-18 Sat 10:00 AM LOS AL Mychelle*

When would you like to attend the class you selected above? *

Please select a start date between August 24 and September 5. Your pass will be active for seven consecutive days beginning on the date you choose.

Would you like to try additional classes during your 7-day pass? (Optional. You may select more than one. Classes marked with an * are designed for students with 2+ years previous experience.)

Teen Ballet I / II 12-18 Wed 6:30 PM CYP

Teen Hip Hop I / II 12-18 Tues 5:30 PM CYP

Teen Jazz I / II 12-18 Mon 5:15 PM CYP

Teen Lyrical / Modern I / II 12-18 Mon 6:15 PM CYP

Teen Tap I 12-18 Wed 7:30 PM CYP

Teen Tap II 12-18 Wed 7:30 PM LOS AL*

Flex + Tech 9-14 Thurs 5:30 PM LOS AL*

Acro A / B 10-18 Tues 4:30 PM LOS AL*

Pilates Party 12-18 Sat 9:00 AM LOS AL*

How did you hear about us? *

How did you hear about us?

If you were referred by a friend, please write their first and last name below

Submit Class Pass Payment *

7-Day Unlimited Class Pass (New Students)

Experience Impact Dance Center with unlimited access to eligible classes for seven consecutive days. Your 7-Day Class Pass must begin between August 24 and September 5, 2026, is valid for one new student, and is non-transferable and non-refundable.

$25

Secure checkout powered by Square. Questions? We're here to help! Call or text (562) 735-2075.

By submitting this form, you consent to receive SMS messages and emails from our company. To unsubscribe, follow the instructions provided in our communications. Message frequency varies. Msg & data rates may apply for SMS. Your privacy is our priority. Your information will not be shared.

Privacy Policy | Terms & Conditions