Martin School of Dance Online Registration

Registration

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Welcome to the Online Registration for Martin School of Dance & Baton. Please complete the Registration Form below to sign up for classes. The Registration below provides you with the option to register one or more individuals per family. All personal information is kept confidential and is managed/handled by authorized staff only.

* 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*

Prov*

Postal Code*

Primary Phone*

Additional Info

Emergency Contact Info

Contact #1

Contact #1 First Name*

Last Name *

Relation*

How Can We Contact You?

Home Phone

Work #

Cell # *

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*

Relation*

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student's Gender Identity*

Birth Date*

Additional Info

Student's Email

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Photo Release

Pronouns

PLEASE SELECT BELOW THE CLASSES THAT YOU WISH TO ENROLL YOUR CHILD IN: Registration will only be completed after the "Submit Registration Information" button is clicked. Placement in all classes will be finalized at the discretion of the Director of Martin School of Dance & Baton.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student's Gender Identity*

Birth Date*

Additional Info

Student's Email

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Photo Release

Pronouns

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student's Gender Identity*

Birth Date*

Additional Info

Student's Email

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Photo Release

Pronouns

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student's Gender Identity*

Birth Date*

Additional Info

Student's Email

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Photo Release

Pronouns

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student's Gender Identity*

Birth Date*

Additional Info

Student's Email

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Photo Release

Pronouns

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

Country *

City

Prov*

Postal Code*

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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)

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)