Theater Dance Center Online Registration

Registration

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Welcome to Theater Dance Center! ***Registration for 2022/2023 Dance School Year is now closed. Registration Fee for 22/23 dance school year - $40 dancer, $60 Family and will be charged at the time of registration. No registration fee for Summer Camp, Adult Stretch and Tone

* 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*

Primary Phone*

Additional Info

Emergency Contact Info*

Contact #1

Guardian #1 First Name*

Last Name *

Type

How Can We Contact You?

Home Phone

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

Guardian #2 First Name

Last Name

Type

How can we contact you?

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

Graduating Seniors

T-Shirt Size

Medical Conditions/Disabilities

Learning Disabilities- this will enable teacher(s) to understand and help the dancer in the class.

Allergies*

1st recital at TDC*

When you enroll in a class(es) the registration fee will be charged to the credit card on file.

Registration fees hold your dancer(s) spot in the class and are non refundable.

TDC runs a 10-month program, September - June. Yearly tuition is broken into 10 installments and is automatically charged to the card placed on file the 1st of every month, beginning with September. You are being charged for a number of classes taught over 10 months not for a particular month.

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

Graduating Seniors

T-Shirt Size

Medical Conditions/Disabilities

Learning Disabilities- this will enable teacher(s) to understand and help the dancer in the class.

Allergies*

1st recital at TDC*

When you enroll in a class(es) the registration fee will be charged to the credit card on file.

Registration fees hold your dancer(s) spot in the class and are non refundable.

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

Graduating Seniors

T-Shirt Size

Medical Conditions/Disabilities

Learning Disabilities- this will enable teacher(s) to understand and help the dancer in the class.

Allergies*

1st recital at TDC*

When you enroll in a class(es) the registration fee will be charged to the credit card on file.

Registration fees hold your dancer(s) spot in the class and are non refundable.

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

Graduating Seniors

T-Shirt Size

Medical Conditions/Disabilities

Learning Disabilities- this will enable teacher(s) to understand and help the dancer in the class.

Allergies*

1st recital at TDC*

When you enroll in a class(es) the registration fee will be charged to the credit card on file.

Registration fees hold your dancer(s) spot in the class and are non refundable.

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

Graduating Seniors

T-Shirt Size

Medical Conditions/Disabilities

Learning Disabilities- this will enable teacher(s) to understand and help the dancer in the class.

Allergies*

1st recital at TDC*

When you enroll in a class(es) the registration fee will be charged to the credit card on file.

Registration fees hold your dancer(s) spot in the class and are non refundable.

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

City

State

Zip*

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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

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