Next Stage Dance and Drama Academy Online Registration

Registration

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Welcome to Next Stage Dance Studio! New Students Register Here.

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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*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)*

Coupon/Promo Code

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*

Cell #

Additional Info

Student Email

T-Shirt Size

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

Medications (Leave blank if NONE)

Showcase Enroll-YES/NO/N/A

Prev Studio/Yrs Trained

Enter First Year at Next Stage

Texting Policies

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. Replace with your Google Doc Link
You will give consent to Next Stage Dance and Drama Academyto send occasional text messages regarding class changes, business closings, upcoming events, and account notifications.
For help, reply HELP. Reply STOP to unsubscribe.
Standard messages and data rates may apply.
Please click on the Search button below to choose the desired class(es) for this student. Add additional students below and make sure to select class(es) for each added student.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

Medications (Leave blank if NONE)

Showcase Enroll-YES/NO/N/A

Prev Studio/Yrs Trained

Enter First Year at Next Stage

Texting Policies

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. Replace with your Google Doc Link
You will give consent to Next Stage Dance and Drama Academyto send occasional text messages regarding class changes, business closings, upcoming events, and account notifications.
For help, reply HELP. Reply STOP to unsubscribe.
Standard messages and data rates may apply.
Please click on the Search button below to choose the desired class(es) for this student. Add additional students below and make sure to select class(es) for each added student.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

Medications (Leave blank if NONE)

Showcase Enroll-YES/NO/N/A

Prev Studio/Yrs Trained

Enter First Year at Next Stage

Texting Policies

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. Replace with your Google Doc Link
You will give consent to Next Stage Dance and Drama Academyto send occasional text messages regarding class changes, business closings, upcoming events, and account notifications.
For help, reply HELP. Reply STOP to unsubscribe.
Standard messages and data rates may apply.
Please click on the Search button below to choose the desired class(es) for this student. Add additional students below and make sure to select class(es) for each added student.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

Medications (Leave blank if NONE)

Showcase Enroll-YES/NO/N/A

Prev Studio/Yrs Trained

Enter First Year at Next Stage

Texting Policies

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. Replace with your Google Doc Link
You will give consent to Next Stage Dance and Drama Academyto send occasional text messages regarding class changes, business closings, upcoming events, and account notifications.
For help, reply HELP. Reply STOP to unsubscribe.
Standard messages and data rates may apply.
Please click on the Search button below to choose the desired class(es) for this student. Add additional students below and make sure to select class(es) for each added student.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

Medications (Leave blank if NONE)

Showcase Enroll-YES/NO/N/A

Prev Studio/Yrs Trained

Enter First Year at Next Stage

Texting Policies

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. Replace with your Google Doc Link
You will give consent to Next Stage Dance and Drama Academyto send occasional text messages regarding class changes, business closings, upcoming events, and account notifications.
For help, reply HELP. Reply STOP to unsubscribe.
Standard messages and data rates may apply.
Please click on the Search button below to choose the desired class(es) for this student. Add additional students below and make sure to select class(es) for each added student.

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

Account Information

Membership Type*

Please fill out CREDIT CARD Payment Method

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?

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

Texting Policies

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Texting Policies

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Texting Policies

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Texting Policies

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Texting Policies

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Account Information

Credit Card

eCheck/Bank Draft

Required Policies

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