Dance City Online Registration

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We are so excited to have you join us for the 2024-2025 dance season!

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Home Address*

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Student #1

Student's First Name*

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School*

Grade Level*

Disabilities (Leave blank if NONE)

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Medications (Leave blank if NONE)

Primary Doctor

Immunization Notes

Thank you for registering with Dance City. If you are in a Foundation, Progression and Competitive full season classes please note that your bodysuit & tights will be available for purchase at the Dance City office. You are welcome to get sized and pick up your items during our office hours:

Monday 1:00 p.m. - 7:30 p.m.
Tuesday 1:00 p.m. - 7:30 p.m.
Wednesday 1:00 p.m. - 7:30 p.m.
Thursday 1:00 p.m. - 7:30 p.m.
Friday CLOSED
Saturday 9:00 a.m. - 4:00 p.m.
Sunday 10:00 a.m. - 2:30 p.m.

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

School*

Grade Level*

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Immunization Notes

Monday 1:00 p.m. - 7:30 p.m.
Tuesday 1:00 p.m. - 7:30 p.m.
Wednesday 1:00 p.m. - 7:30 p.m.
Thursday 1:00 p.m. - 7:30 p.m.
Friday CLOSED
Saturday 9:00 a.m. - 4:00 p.m.
Sunday 10:00 a.m. - 2:30 p.m.

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

School*

Grade Level*

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Immunization Notes

Monday 1:00 p.m. - 7:30 p.m.
Tuesday 1:00 p.m. - 7:30 p.m.
Wednesday 1:00 p.m. - 7:30 p.m.
Thursday 1:00 p.m. - 7:30 p.m.
Friday CLOSED
Saturday 9:00 a.m. - 4:00 p.m.
Sunday 10:00 a.m. - 2:30 p.m.

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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Student Email

School*

Grade Level*

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Immunization Notes

Monday 1:00 p.m. - 7:30 p.m.
Tuesday 1:00 p.m. - 7:30 p.m.
Wednesday 1:00 p.m. - 7:30 p.m.
Thursday 1:00 p.m. - 7:30 p.m.
Friday CLOSED
Saturday 9:00 a.m. - 4:00 p.m.
Sunday 10:00 a.m. - 2:30 p.m.

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

School*

Grade Level*

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Immunization Notes

Monday 1:00 p.m. - 7:30 p.m.
Tuesday 1:00 p.m. - 7:30 p.m.
Wednesday 1:00 p.m. - 7:30 p.m.
Thursday 1:00 p.m. - 7:30 p.m.
Friday CLOSED
Saturday 9:00 a.m. - 4:00 p.m.
Sunday 10:00 a.m. - 2:30 p.m.

Enroll in Classes

Select Class *

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Postal Code*

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Referral Information

Family Information

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

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