Sonoma Conservatory of Dance Online Registration

Registration

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New Student Registration Form, click above if already a customer. Annual Registration Fee: A non-refundable registration fee of $50 is required at the time of enrollment and at the start of each school year.

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Referral Information

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Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info

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Contact #1

Contact #1 First Name*

Last Name *

Type*

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Home Phone

Work #

Cell # *

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Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Type

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Home Phone

Work #

Cell #

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Confirm Email

Student #1

Student's First Name*

Last Name*

Ethnicity Reporting*

Birth Date*

Cell #

Additional Info

Student Email

School

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Ethnicity Reporting*

Birth Date*

Cell #

Additional Info

Student Email

School

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications

Photo Release Yes/No?*

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Ethnicity Reporting*

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Additional Info

Student Email

School

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications

Photo Release Yes/No?*

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Ethnicity Reporting*

Birth Date*

Cell #

Additional Info

Student Email

School

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications

Photo Release Yes/No?*

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Ethnicity Reporting*

Birth Date*

Cell #

Additional Info

Student Email

School

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications

Photo Release Yes/No?*

Enroll in Classes

Select Class *

Add Another Student

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Questions or Concerns

Comments

Payment Information

Account Information

e-Payment Schedule*

Monthly Tuition Assistance Program

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)

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Enroll in Classes

Student #4 (Show-Hide Details)

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Student #5 (Show-Hide Details)

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