The Pointe Dance Centre Online Registration

Registration

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The Pointe Dance Centre

* 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/Prov*

Postal Code*

Primary Phone*

Additional Info

Emergency Contact Info*

Contact #1

Contact #1 First Name*

Last Name *

How Can We Contact You?

Home Phone *

Work #

Cell #

Receive Text Message Notifications. By opting in, you agree to receive SMS messages from The Pointe Dance Centre. Standard message and data rates apply. Reply STOP to opt out

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. By opting in, you agree to receive SMS messages from The Pointe Dance Centre. Standard message and data rates apply. Reply STOP to opt out

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from The Pointe Dance Centre. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

T-Shirt Size

School*

Grade Level

Special Needs*

Allergies*

Need help deciding which class is right for you or your child? Give us a call @ 416-763-1100 and we'll be happy to discuss your options.

Enroll in Classes

Select Another Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from The Pointe Dance Centre. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

T-Shirt Size

School*

Grade Level

Special Needs*

Allergies*

Need help deciding which class is right for you or your child? Give us a call @ 416-763-1100 and we'll be happy to discuss your options.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from The Pointe Dance Centre. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

T-Shirt Size

School*

Grade Level

Special Needs*

Allergies*

Need help deciding which class is right for you or your child? Give us a call @ 416-763-1100 and we'll be happy to discuss your options.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from The Pointe Dance Centre. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

T-Shirt Size

School*

Grade Level

Special Needs*

Allergies*

Need help deciding which class is right for you or your child? Give us a call @ 416-763-1100 and we'll be happy to discuss your options.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from The Pointe Dance Centre. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

T-Shirt Size

School*

Grade Level

Special Needs*

Allergies*

Need help deciding which class is right for you or your child? Give us a call @ 416-763-1100 and we'll be happy to discuss your options.

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

Country *

City

State/Prov*

Postal Code*

Jackrabbit Technologies' class management platform & registration portal is trusted by 1000s of
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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

Credit Card

Required Policies

(Show-Hide Details)