Registration
Already a customer? Click here to login.
REGISTRATION FOR ETD SNEAK-A-PEEK 2020 Welcome and Thank You for joining us for our Summer Camp Kick-Off. Please select the classes that you wish to try-out, fill out the parent and student information and submit your form. You will then receive a Welcome from us with instructions on how to log-in to your classes. Be sure to visit our website at www.educationthrudance.com and check out all of our Summer classes, camps and activities. Sign up Summer Camp now for only $35.00 A WEEK.
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
*
Type
*
Aunt
Caregiver
Father
Grandparent
Guardian
Mother
Parent
Self
Step Father
Step Mother
Uncle
Home Phone:
Cell #:
Work #:
Email:
*
(Emails are kept confidential)
Address:
*
City:
*
State:
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NC
ND
NH
NJ
NM
NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
*
Emergency Contact Info (Not Contact #1 or #2)
*
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:
*
Female
Male
Non-Binary
Birth Date:
*
(format=mm/dd/yyyy)
Student Email (enter if student has an email address)):
School Name:
*
Grade Level:
*
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies:
*
Medications:
*
Primary Doctor:
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non-Binary
Birth Date:
*
(format=mm/dd/yyyy)
Student Email (enter if student has an email address)):
School Name:
*
Grade Level:
*
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies:
*
Medications:
*
Primary Doctor:
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non-Binary
Birth Date:
*
(format=mm/dd/yyyy)
Student Email (enter if student has an email address)):
School Name:
*
Grade Level:
*
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies:
*
Medications:
*
Primary Doctor:
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non-Binary
Birth Date:
*
(format=mm/dd/yyyy)
Student Email (enter if student has an email address)):
School Name:
*
Grade Level:
*
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies:
*
Medications:
*
Primary Doctor:
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non-Binary
Birth Date:
*
(format=mm/dd/yyyy)
Student Email (enter if student has an email address)):
School Name:
*
Grade Level:
*
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies:
*
Medications:
*
Primary Doctor:
Questions/Options:
SAT. May 23rd "Spring Fling" - 10:15 am *Imagination Station* (Ages 2.5-4 yrs) FREE
(checked=yes)
SAT. May 23rd "Spring Fling" - 11:30 am *Hip Hop* (Ages 5-7 yrs)FREE
(checked=yes)
SAT. May 23rd "Spring Fling" - 12:15 pm *Musical Theater w/ Morgan McGhee * (Ages 7-12 yrs) FREE
(checked=yes)
SAT. May 23rd "Spring Fling" - 1:00 pm *Afro-Beats* All Ages- FREE
(checked=yes)
SAT. May 23rd "Spring Fling"- 1:00 pm *B-Boying 101 - Boys Only * (Ages 7 yrs -Up)- FREE
(checked=yes)
SAT. May 23rd "Spring Fling" - 3:00 pm *Beg/Int Tap* (Ages 10 yrs-Up)- FREE
(checked=yes)
Additional Information:
Other Questions/Comments:
Please Wait...
