Dance/10 Performing Arts Center Online Registration

Registration

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Welcome to Dance/10 Performing Arts Center online registration. Please provide your information below and click 'Submit' when done. Credit cards/Accounts are NOT charged at this time.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Work #

Cell # * Receive Text Message Notifications

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 # Receive Text Message Notifications

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

Are there any learning differences that would help us support your student (Leave blank if NONE)

Tuition

Tuition is calculated based on the number of hours enrolled per week per family. Please see our tuition schedule on our website at https://www.dance10.org/about/enrollment-and-tuition-info/

Texting Policies for Dance/10 Performing Arts Center

By selecting the box "Receive Text Message Notifications" on this form, you are agreeing to our Informed Consent for Text (SMS) Messaging terms, conditions and privacy policy, which can be found HERE.

You will give consent to Dance/10 Performing Arts Center to send occasional text messages regarding class changes, business closings, upcoming events, and account notifications.

If you have questions, please call us at +1 (510) 522-5678.

For help, reply HELP. Reply STOP to unsubscribe.
Standard messages and data rates may apply.

Please consider adding Dance/10 Performing Arts Center and texting number(s) as a contact, so that our messages will not go to spam.

No mobile information will be shared with third parties/affiliates for marketing/promotional purposes or for any other reason.

Dance/10 Performing Arts Center does not sell, share or trade our customers/users phone numbers.

Enroll in Classes

Select Another Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

Are there any learning differences that would help us support your student (Leave blank if NONE)

Tuition

Tuition is calculated based on the number of hours enrolled per week per family. Please see our tuition schedule on our website at https://www.dance10.org/about/enrollment-and-tuition-info/

Texting Policies for Dance/10 Performing Arts Center

You will give consent to Dance/10 Performing Arts Center to send occasional text messages regarding class changes, business closings, upcoming events, and account notifications.

If you have questions, please call us at +1 (510) 522-5678.

For help, reply HELP. Reply STOP to unsubscribe.
Standard messages and data rates may apply.

Please consider adding Dance/10 Performing Arts Center and texting number(s) as a contact, so that our messages will not go to spam.

No mobile information will be shared with third parties/affiliates for marketing/promotional purposes or for any other reason.

Dance/10 Performing Arts Center does not sell, share or trade our customers/users phone numbers.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

Are there any learning differences that would help us support your student (Leave blank if NONE)

Tuition

Tuition is calculated based on the number of hours enrolled per week per family. Please see our tuition schedule on our website at https://www.dance10.org/about/enrollment-and-tuition-info/

Texting Policies for Dance/10 Performing Arts Center

You will give consent to Dance/10 Performing Arts Center to send occasional text messages regarding class changes, business closings, upcoming events, and account notifications.

If you have questions, please call us at +1 (510) 522-5678.

For help, reply HELP. Reply STOP to unsubscribe.
Standard messages and data rates may apply.

Please consider adding Dance/10 Performing Arts Center and texting number(s) as a contact, so that our messages will not go to spam.

No mobile information will be shared with third parties/affiliates for marketing/promotional purposes or for any other reason.

Dance/10 Performing Arts Center does not sell, share or trade our customers/users phone numbers.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

Are there any learning differences that would help us support your student (Leave blank if NONE)

Tuition

Tuition is calculated based on the number of hours enrolled per week per family. Please see our tuition schedule on our website at https://www.dance10.org/about/enrollment-and-tuition-info/

Texting Policies for Dance/10 Performing Arts Center

You will give consent to Dance/10 Performing Arts Center to send occasional text messages regarding class changes, business closings, upcoming events, and account notifications.

If you have questions, please call us at +1 (510) 522-5678.

For help, reply HELP. Reply STOP to unsubscribe.
Standard messages and data rates may apply.

Please consider adding Dance/10 Performing Arts Center and texting number(s) as a contact, so that our messages will not go to spam.

No mobile information will be shared with third parties/affiliates for marketing/promotional purposes or for any other reason.

Dance/10 Performing Arts Center does not sell, share or trade our customers/users phone numbers.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

Are there any learning differences that would help us support your student (Leave blank if NONE)

Tuition

Tuition is calculated based on the number of hours enrolled per week per family. Please see our tuition schedule on our website at https://www.dance10.org/about/enrollment-and-tuition-info/

Texting Policies for Dance/10 Performing Arts Center

You will give consent to Dance/10 Performing Arts Center to send occasional text messages regarding class changes, business closings, upcoming events, and account notifications.

If you have questions, please call us at +1 (510) 522-5678.

For help, reply HELP. Reply STOP to unsubscribe.
Standard messages and data rates may apply.

Please consider adding Dance/10 Performing Arts Center and texting number(s) as a contact, so that our messages will not go to spam.

No mobile information will be shared with third parties/affiliates for marketing/promotional purposes or for any other reason.

Dance/10 Performing Arts Center does not sell, share or trade our customers/users phone numbers.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Please fill out ONE of the following Payment Methods

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

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

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Registration

Referral Information

Family Information

Where do you live?

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

Credit Card

eCheck/Bank Draft

Required Policies

(Show-Hide Details)