Registration


Bloomsburg School of Dance LLC Registration

*   denotes required fields

Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Who is your employer?
Contact #2
How can we contact you?
(Emails are kept confidential)
Who is your employer?
Student #1
Additional Info

Please note that Level B is beginner and A is advanced. Students first grade and up must register for level B until they are progressed into the next level. If you have a question about a level, please feel free to email us.

Enroll in Classes
Select Class *
Required Policies
 (Show-Hide Details)
Questions or Concerns
Payment Information
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)
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