Contact Us

L.A. Dance Connection

10713 La Mirada Blvd Whittier, CA 90604

Phone Number : 562.693.9202

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Parent Name:*

Student Name:*

Student Date of Birth:*

What is your child's current age?*

Phone Number:*

E-Mail Address:*

Mailing Address:

Programs of Interest:*

How did you hear about us?

Who referred you?


Does the student have previous dance experience?
 Yes No

If yes; Where?

How long?