Registration


Welcome to the Surge Dance Center Online Registration! Lets get started!

*   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)
Contact #2
How can we contact you?
(Emails are kept confidential)
Who is your employer?
Student #1
(format=mm/dd/yyyy)
Additional Info

Please select your child's classes. Here are some guidelines regarding age. Creative Movement: 2-3 years old Pre Dance: 3-4 years old Petite: 5-9 years old Junior:8-12 year old Teen:12 and up Senior: 12 and up

Enroll in Classes
Select Class *
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns
Payment Information
Credit Card