Registration
For kids ages 4 and up. Let our team keep your kids active and entertained with games, crafts, supervised free-time in the gym and a dance party in the dance studio. Pack a snack and water bottle or snacks available for purchase via our vending machine.
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:
What is your primary contact phone number and 1 Emergency Contact and phone number*
Please list any medical conditions or allergies we need to be aware of.
 
Additional Information:
 
Cancellation
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
 
 
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: