Registration
Are you ready for it? If you love to dance, sing and perform with your dance besties, you will have a blast shaking it off as you launch into an era of fearless fun and fame! The glitter and glam will be off the charts, and your jazz and hip hop dancing will never go out of style! Get ready to make the whole place shimmer!
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info
(Not Contact #1 or #2) Name and Phone Number*
 
 
Students entered below will be added to your family's account
 
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:*