Studio 21 Online Registration

Registration

Already a customer? Click here to login.

Welcome to our 15th Dance Season at Studio 21! For our full year classes, please allow 3-5 business days for Tuition/Registration Fees to post to your account and your payment to be processed. Tuition rates are available to view on our website. 2024-2025 Registration Fee: $40/student (Family Max: $65) Drop-in classes, Adult classes, Special events & Summer Programs - DO NOT REQUIRE a registration fee.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

Student Email

Grade Level

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Recital Participant (Y/N)?*

CLASS ENROLLMENT:

The current class schedule is always subject to change due to enrollment and interest. If a change occurs you will be notified!

Class full? Add to the waitlist! This way we know where we need to add additional classes!

Don't see a class for you? LET US KNOW! We are always open to feedback & suggestions!

We can't wait to meet your dancer & share our passion for dance with them!!

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

Student Email

Grade Level

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Recital Participant (Y/N)?*

CLASS ENROLLMENT:

The current class schedule is always subject to change due to enrollment and interest. If a change occurs you will be notified!

Class full? Add to the waitlist! This way we know where we need to add additional classes!

Don't see a class for you? LET US KNOW! We are always open to feedback & suggestions!

We can't wait to meet your dancer & share our passion for dance with them!!

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

Student Email

Grade Level

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Recital Participant (Y/N)?*

CLASS ENROLLMENT:

The current class schedule is always subject to change due to enrollment and interest. If a change occurs you will be notified!

Class full? Add to the waitlist! This way we know where we need to add additional classes!

Don't see a class for you? LET US KNOW! We are always open to feedback & suggestions!

We can't wait to meet your dancer & share our passion for dance with them!!

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

Student Email

Grade Level

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Recital Participant (Y/N)?*

CLASS ENROLLMENT:

The current class schedule is always subject to change due to enrollment and interest. If a change occurs you will be notified!

Class full? Add to the waitlist! This way we know where we need to add additional classes!

Don't see a class for you? LET US KNOW! We are always open to feedback & suggestions!

We can't wait to meet your dancer & share our passion for dance with them!!

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

Student Email

Grade Level

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Recital Participant (Y/N)?*

CLASS ENROLLMENT:

The current class schedule is always subject to change due to enrollment and interest. If a change occurs you will be notified!

Class full? Add to the waitlist! This way we know where we need to add additional classes!

Don't see a class for you? LET US KNOW! We are always open to feedback & suggestions!

We can't wait to meet your dancer & share our passion for dance with them!!

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

Payment Schedule*

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

City

State

Zip*

Jackrabbit Technologies' class management platform & registration portal is trusted by 1000s of
dance studios , gyms , swim schools , music schools , cheer gyms , childcare centers , and more .

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Account Information

Credit Card

Required Policies

(Show-Hide Details)