Steps 'N Motion Dance Studio Online Registration

Registration

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Welcome to Steps N Motion Dance Studio! We are excited to start dancing with you!

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Referral Information

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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?

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

Who is your employer?

Employer

Employer Phone

Employer Notes

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

Who is your employer?

Employer

Employer Phone

Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

Annual 24-25 recital?*

T-Shirt Size*

Image release*

Some classes have age requirements. You will receive an error message if your dancer does not meet the appropriate age requirements. Call the studio at 704-845-1180 if you need additional assistance.

Enroll in Classes

Select Another Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

Annual 24-25 recital?*

T-Shirt Size*

Image release*

Some classes have age requirements. You will receive an error message if your dancer does not meet the appropriate age requirements. Call the studio at 704-845-1180 if you need additional assistance.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

Annual 24-25 recital?*

T-Shirt Size*

Image release*

Some classes have age requirements. You will receive an error message if your dancer does not meet the appropriate age requirements. Call the studio at 704-845-1180 if you need additional assistance.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

Annual 24-25 recital?*

T-Shirt Size*

Image release*

Some classes have age requirements. You will receive an error message if your dancer does not meet the appropriate age requirements. Call the studio at 704-845-1180 if you need additional assistance.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

Annual 24-25 recital?*

T-Shirt Size*

Image release*

Some classes have age requirements. You will receive an error message if your dancer does not meet the appropriate age requirements. Call the studio at 704-845-1180 if you need additional assistance.

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Payment Information

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*

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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)

Who is your employer?

Contact #2

How can we contact you?

Who is your employer?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

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Student #3 (Show-Hide Details)

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Student #4 (Show-Hide Details)

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Student #5 (Show-Hide Details)

Additional Info

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