Becky's Academy of Dance Web Registration

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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)
(Emails are kept confidential)
Who is your employer?
Contact #2
How can we contact you?
(Emails are kept confidential)
Who is your employer?
Student #1
Additional Info

Registration Fee is $35 and will be charged at time of registration and billed to credit card on file. Children's Academy class fees are $60 per month for a hour class once a week or $72 per month for an hour and a half class once a week. All Adult Classes purchase class card from Becky's during office hours.

Enroll in Classes
Select Class *
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns
Payment Information
Account Information
Credit Card