Asbury Arts - North Florida Dance Center Online Registration

Registration

Already a customer? Click here to login.

Sorry, but this class is no longer available.

Please create your family account and choose your class(es)
Registration and tuition will be processed after enrollment has been reviewed.
Please allow 24-48 ours for our office to review your enrollment and call 904-406-4161 with any questions. Thank you!

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Cell # * Receive Text Message Notifications

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Cell # Receive Text Message Notifications

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Name of academic school (if you attend one)

Allergies or other med/special needs (leave blank if none)

Search through our class listing here. You can use the search icon to filter by by session, days, etc.
Call us at 904-406-4161 if you need help choosing your classes.

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*

Name of academic school (if you attend one)

Allergies or other med/special needs (leave blank if none)

Search through our class listing here. You can use the search icon to filter by by session, days, etc.
Call us at 904-406-4161 if you need help choosing your classes.

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*

Name of academic school (if you attend one)

Allergies or other med/special needs (leave blank if none)

Search through our class listing here. You can use the search icon to filter by by session, days, etc.
Call us at 904-406-4161 if you need help choosing your classes.

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*

Name of academic school (if you attend one)

Allergies or other med/special needs (leave blank if none)

Search through our class listing here. You can use the search icon to filter by by session, days, etc.
Call us at 904-406-4161 if you need help choosing your classes.

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*

Name of academic school (if you attend one)

Allergies or other med/special needs (leave blank if none)

Search through our class listing here. You can use the search icon to filter by by session, days, etc.
Call us at 904-406-4161 if you need help choosing your classes.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

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*

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)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

Required Policies

(Show-Hide Details)