Registration

Suggested Admission is $100 a family But you can enter any amount you would like!

Event:

Start Date/Time:

End Date/Time:

Fee per Family:

Room:

* - denotes required fields

DURING REGISTRATION, If system tells you that you already in the system, please click OK!

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

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info/Both parents cell #'s and 2 other contacts*

Add New Student #1:

(Show-Hide Details)

	Student's First Name: *	Last Name: *
	Student Gender:	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	School:	Entering Grd in Sept.:*
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):
	Primary Doctor name & phone #:

Questions/Options:


Enter Family Name? Enter how much would you like to give us for admission to our show? Remember if you have a credit on your dance account, we will use it for this as well! We thank you in advance

Additional Information: