Production Company Dance Centre Online Registration

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Thank you for registering with Production Company Dance Centre! If you have any questions regarding registration please call/text us at 303-682-8842 or email us at info@productioncompanydance.com. We can't wait to dance with you soon!

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Referral Information

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Referral Name

Family Information

Family Last Name*

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Home Address*

City*

State*

Zip*

Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

Type*

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Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name*

Last Name*

Type*

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Cell # *

Email* (Emails are kept confidential)

Confirm Email*

Student #1

Student's First Name*

Last Name*

Birth Date*

Additional Info

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Please register for classes based on your student's 2024-25 school grade level.

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Please register for classes based on your student's 2024-25 school grade level.

Enroll in Classes

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Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Please register for classes based on your student's 2024-25 school grade level.

Enroll in Classes

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Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

Grade Level*

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Allergies (Leave blank if NONE)

Please register for classes based on your student's 2024-25 school grade level.

Enroll in Classes

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Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Please register for classes based on your student's 2024-25 school grade level.

Enroll in Classes

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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

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Zip*

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Registration

Referral Information

Family Information

Where do you live?

Contact #1

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Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

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