Addicted 2 Dance Company Online Registration

Registration

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Welcome to Addicted 2 Dance's Registration System. Tuition is a yearly fee payable in 10 equal installments; the first and last payment plus registration fee will be charged to the credit card on file within 48 hours. It is Important to remember that the last installment will not show at the time of registration . They will be carefully calculated before the credit card is charged.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Last Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Contact #1

Parent/Guardian First Name*

Last Name *

Type*

How Can We Contact You?

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Parent/Guardian First Name

Last Name

Type

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 Gender*

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

Additional Info

Student Email

T-Shirt Size

School Name*

Grade*

Special Needs/Learning Style

Allergies (Leave blank if NONE)

Approximate no of years at A2D*

Previous Experience*

T-Shirt Size*

Leotard/Body Suit Size*

Below, you may open a search to find the particular classes of interest for your student(s).

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

Student Email

T-Shirt Size

School Name*

Grade*

Special Needs/Learning Style

Allergies (Leave blank if NONE)

Approximate no of years at A2D*

Previous Experience*

T-Shirt Size*

Leotard/Body Suit Size*

Below, you may open a search to find the particular classes of interest for your student(s).

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

Student Email

T-Shirt Size

School Name*

Grade*

Special Needs/Learning Style

Allergies (Leave blank if NONE)

Approximate no of years at A2D*

Previous Experience*

T-Shirt Size*

Leotard/Body Suit Size*

Below, you may open a search to find the particular classes of interest for your student(s).

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

Student Email

T-Shirt Size

School Name*

Grade*

Special Needs/Learning Style

Allergies (Leave blank if NONE)

Approximate no of years at A2D*

Previous Experience*

T-Shirt Size*

Leotard/Body Suit Size*

Below, you may open a search to find the particular classes of interest for your student(s).

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

Student Email

T-Shirt Size

School Name*

Grade*

Special Needs/Learning Style

Allergies (Leave blank if NONE)

Approximate no of years at A2D*

Previous Experience*

T-Shirt Size*

Leotard/Body Suit Size*

Below, you may open a search to find the particular classes of interest for your student(s).

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Previous Injuries

Upon registration, I will list any and all previous injuries or medical conditions (e.g., tears, breaks, sprains, allergies and any other medical conditions)