Expressions in Rhythm Studio Online Registration

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At Expressions in Rhythm Studio, we’re more than a place to learn dance and music—we’re a community where children are encouraged, celebrated, and nurtured. Here, confidence grows, creativity flourishes, and every child finds a place to belong.

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Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

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Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)*

Custody order in place?*

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If no, type N/A

Contact #1

Contact #1 First Name*

Last Name *

Type*

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Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

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Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Grade Level*

Special Needs*

Allergies*

Dance and/or music experience*

If yes, where?

If no, type N/A

Thank you for choosing Expressions in Rhythm Studio. To complete your enrollment:

Fill out all required fields on the form for your child, including class selection and contact information.
Be sure to add a valid credit card. Your payment will be processed within 24 hours to confirm your child’s spot.

That’s it! Once submitted, you’ll receive a confirmation from info@eirstudio.com

Need help? We’re just a call or email away—here to support you every step of the journey.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Grade Level*

Special Needs*

Allergies*

Dance and/or music experience*

If yes, where?

If no, type N/A

Thank you for choosing Expressions in Rhythm Studio. To complete your enrollment:

Fill out all required fields on the form for your child, including class selection and contact information.
Be sure to add a valid credit card. Your payment will be processed within 24 hours to confirm your child’s spot.

That’s it! Once submitted, you’ll receive a confirmation from info@eirstudio.com

Need help? We’re just a call or email away—here to support you every step of the journey.

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Grade Level*

Special Needs*

Allergies*

Dance and/or music experience*

If yes, where?

If no, type N/A

Thank you for choosing Expressions in Rhythm Studio. To complete your enrollment:

Fill out all required fields on the form for your child, including class selection and contact information.
Be sure to add a valid credit card. Your payment will be processed within 24 hours to confirm your child’s spot.

That’s it! Once submitted, you’ll receive a confirmation from info@eirstudio.com

Need help? We’re just a call or email away—here to support you every step of the journey.

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Grade Level*

Special Needs*

Allergies*

Dance and/or music experience*

If yes, where?

If no, type N/A

Thank you for choosing Expressions in Rhythm Studio. To complete your enrollment:

Fill out all required fields on the form for your child, including class selection and contact information.
Be sure to add a valid credit card. Your payment will be processed within 24 hours to confirm your child’s spot.

That’s it! Once submitted, you’ll receive a confirmation from info@eirstudio.com

Need help? We’re just a call or email away—here to support you every step of the journey.

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Grade Level*

Special Needs*

Allergies*

Dance and/or music experience*

If yes, where?

If no, type N/A

Thank you for choosing Expressions in Rhythm Studio. To complete your enrollment:

Fill out all required fields on the form for your child, including class selection and contact information.
Be sure to add a valid credit card. Your payment will be processed within 24 hours to confirm your child’s spot.

That’s it! Once submitted, you’ll receive a confirmation from info@eirstudio.com

Need help? We’re just a call or email away—here to support you every step of the journey.

Enroll in Classes

Select Class *

Add Another Student

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Questions or Concerns

Comments

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Account Information

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Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

City

State

Zip*

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Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

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Student #3 (Show-Hide Details)

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Student #4 (Show-Hide Details)

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Student #5 (Show-Hide Details)

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