The Next Step Dance Studio Online Registration

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Welcome to NSD!!! We are excited to begin our 47th year of shaping the lives of children through our arts program. You will find a wide variety of classes from ages 2 & up that is perfect for the beginner or your advanced dancer. We hope your dancer enjoys their new family here at Next Step Dance. We appreciate your business and look forward to getting to know you and your child. The Registration Fee of $40.00 is due today and will be drafted from your card (current).

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Referral Information

How did you hear about us?*

Referral Name

Family's Last

Family's Last Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact: Parents called first*

Health Insurance Carrier*

Recital 2nd /3rd wk June, ok?*

I will chk emails daily/weekly*

See Policy on NSD Logo Apparel*

Must Buy shoes at NSD? ok*

Reg. Fee is due today, ok?*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone *

Work # *

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Who is your employer?

Employer*

Employer Phone*

Employer Notes

Contact #2

Contact #2 First Name*

Last Name*

Type*

How can we contact you?

Home Phone *

Work # *

Cell # *

Email* (Emails are kept confidential)

Confirm Email*

Who is your employer?

Employer*

Employer Phone*

Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender*

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

Cell #

Additional Info

Student Email - only if you wish for them to receive emails

T-Shirt Size

School*

Grade Level*

What Neighborhood Do You Live In?*

How did you hear about Next Step Dance?

How many years of dance? (incld this year)*

Allergies*

Please see the list of classes, find your class and click REGISTER. Our Age Cut-off is August 1st. The Registration Fee ($40.00 1st student & $15.00 each additional student) is due upon registration to hold your child's place in class and begins during This fee is Non-Refundable.

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 #

Additional Info

Student Email - only if you wish for them to receive emails

T-Shirt Size

School*

Grade Level*

What Neighborhood Do You Live In?*

How did you hear about Next Step Dance?

How many years of dance? (incld this year)*

Allergies*

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 #

Additional Info

Student Email - only if you wish for them to receive emails

T-Shirt Size

School*

Grade Level*

What Neighborhood Do You Live In?*

How did you hear about Next Step Dance?

How many years of dance? (incld this year)*

Allergies*

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 #

Additional Info

Student Email - only if you wish for them to receive emails

T-Shirt Size

School*

Grade Level*

What Neighborhood Do You Live In?*

How did you hear about Next Step Dance?

How many years of dance? (incld this year)*

Allergies*

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 #

Additional Info

Student Email - only if you wish for them to receive emails

T-Shirt Size

School*

Grade Level*

What Neighborhood Do You Live In?*

How did you hear about Next Step Dance?

How many years of dance? (incld this year)*

Allergies*

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

Account Information

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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's Last

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Who is your employer?

Contact #2

How can we contact you?

Who is your employer?

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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Student #4 (Show-Hide Details)

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Student #5 (Show-Hide Details)

Additional Info

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Required Policies

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