Registration
JUNE 29TH - JULY 18TH **************** EBSC - $175 **************** 3 weeks of live programming on Mondays, Wednesdays and Fridays from 10am to 12pm PST. Classes will also be available On Demand after they have been conducted. Early Birds will engage in Ballet, Hip Hop, Tap and African Dance as well as a guided playtime activity.
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
(Not Contact #1 or #2)*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
I agree that DADA can charge my CC for the amount selected.*
 
Additional Information:
 
 
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:*