Registration

The PerCo performs at local and community events throughout the Triangle. You can learn more here: https://bit.ly/3yiwWh1
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:
Why are you auditioning? What are your goals as a dancer? *
Are you involved in any other school or extracurricular activities? *
 
Additional Information:
 
Payment Information
  (Show-Hide Details)
I've read the above and agree.
 
Audition Confirmation
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I've read the above and agree.
 
Allowed into the Studio Room
  (Show-Hide Details)
I've read the above and agree.
 
Final Placements
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I've read the above and agree.
 
Assumption of Risk & Release of Liability
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I've read the above and agree.
 
Media Release
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I've read the above and agree.
 
EIRSPC Community Meeting
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I've read the above and agree.
 
Agreement
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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:*