Registration

Already a customer? Click here to login.

Master Class for ages 12 +. Instructor information listed below. CDE Crew and Collective Members are required to attend 3 master classes in the 24-25 season. August 24th- Hip Hop with April McLaurin

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info*

Students entered below will be added to your family's account

Add New Student #1:

(Show-Hide Details)

	Student's First Name: *	Last Name: *
	Student Gender:	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	23-24 Grade Level:*
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):

Additional Information:

Payment

(Show-Hide Details)

I've read the above and agree.

Release of Liability

(Show-Hide Details)

I've read the above and agree.

Photo/Video Release

(Show-Hide Details)

I've read the above and agree.

Enter your Full Name:

Other Questions/Comments:

Credit Card Verification:

Card Number:

Name as it appears on card:

Nickname:

Card Expiration Month:

Exp Year:

Address Line 1:

Address Line 2:

City:

State: Zip:

eCheck/Bank Draft:

Bank Name:

Bank Routing Number:

(9-digit number)

Your Account Name:

(Your name on your bank statement)

Your Account Type:

Account Number: