Tiny Toes ballet Online Registration

Registration

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Welcome! Discover the enchanting world of Tiny Toes Ballet & experience a world filled with joy & rainbow magic! A credit card reserves a spot in your chosen class so that no one can take your position. If you wish to continue after the trial, you'll receive a bill for our registration fee, the trial class & the term's remaining lessons. Your card will only be charged with your approval. Not the right fit? No worries! We’ll delete your card and won’t charge you.

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Referral Information

How did you hear about us?*

Referral Name

Family Information

Where do you live?

Home Address*

City*

State*

Postal Code*

Primary Phone*

Additional Info

Have you danced with us before*

Promo Code

Contact #1

Contact 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

Student #1

Student's First Name*

Last Name*

Gender*

Birth Date*

Additional Info

Special Needs & Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date*

Additional Info

Special Needs & Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date*

Additional Info

Special Needs & Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date*

Additional Info

Special Needs & Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date*

Additional Info

Special Needs & Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

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

Postal Code*

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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)

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

(Show-Hide Details)