Registration


Provide the following information to complete registration for Heart N Soul's 2018 - 2019 dance season. We will review your registration and contact you if any changes are necessary. Please Note: Payment information is required to complete registration. However, no charges will be applied to your account until registration is finalized. At that point, only the Registration Fee ($35.00 per student or $50.00 per family) will be charged.

*   denotes required fields

Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Who is your employer?
Contact #2
How can we contact you?
(Emails are kept confidential)
Who is your employer?
Student #1
(format=mm/dd/yyyy)
Additional Info
Enroll in Classes
Select Class
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns
Payment Information
Please fill out ONE of the following Payment Methods
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)