Registration

Join us for one of our Mini Mania technique intensives this summer! We are excited to offer jazz, acro and ballet technique for our 6-7 year old dancers who are looking to improve their skills. Each intensive will develop their strength and flexibility while focusing on the specific genre of dance. We are excited to work with your dancer this summer!
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:
Is your dancer a current PDC Student?*
If they are NOT a current PDC student, where are they primarily enrolled in dance classes?
How many years of JAZZ dance experience do they have? *
How many years of ACRO dance experience do they have?*
How many years of BALLET dance experience do they have? *
 
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:*
 
 
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: