Isabelle's Dance Time Online Registration

Registration

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Welcom to Isabelle's Dance Time On-Line Registration . We accept credit cards, checks or cash. Credit Card Payments can be made on line. Charges will be posted to your card after your registration has been reviewed and discounts applied if applicable. You will then be notified by e-mail within 24-48 hours of the receipt and charges. If you cannot supply this information or have questions before registering, please call the studio at 509-927-0972 or e-mail isabelle@isabellesdancetime.com

* 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*

Home or Primary Phone*

Additional Info

Emergency Contact Info*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

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

Work #

Cell # * Receive Text Message Notifications

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell # Receive Text Message Notifications

Additional Info

Student Email

School*

Grade Level*

Transportation

Disabilites

Allergies*

Medications*

Primary Doctor

Immunization Notes

Skill Notes

Choose any filter to narrow your search.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell # Receive Text Message Notifications

Additional Info

Student Email

School*

Grade Level*

Transportation

Disabilites

Allergies*

Medications*

Primary Doctor

Immunization Notes

Skill Notes

Choose any filter to narrow your search.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell # Receive Text Message Notifications

Additional Info

Student Email

School*

Grade Level*

Transportation

Disabilites

Allergies*

Medications*

Primary Doctor

Immunization Notes

Skill Notes

Choose any filter to narrow your search.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell # Receive Text Message Notifications

Additional Info

Student Email

School*

Grade Level*

Transportation

Disabilites

Allergies*

Medications*

Primary Doctor

Immunization Notes

Skill Notes

Choose any filter to narrow your search.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell # Receive Text Message Notifications

Additional Info

Student Email

School*

Grade Level*

Transportation

Disabilites

Allergies*

Medications*

Primary Doctor

Immunization Notes

Skill Notes

Choose any filter to narrow your search.

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Annual Registration Fee

An annual enrollment fee of $20.00 per student or $30.00 per family is collected at the time of registration. The enrollment fee is nonrefundable, nontransferable and nonadjustable.