Evolutions School of Dance Online Registration

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A $25/dancer Registration Fee ($50/Family) secures your spot in your full year desired classes. This fee will be processed up to two weeks after your registration. We will require payment information for all sessional & full year classes. There is no registration fee for our free classes or sessional classes.

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Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State/Prov*

Postal Code*

Home or Primary Phone*

Additional Info

Emergency Contact Info*

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

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

Student #1

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Previous Dance Training (including # of years and studio name)

Please select your classes carefully when registering. Contact us at info@evolutionsdance.com if you have any questions or are unsure what classes to register for. * Each dancer registered in our Pre-Intermediate classes and lower are required to purchase an Individual ESD Prop Bag for their classes. These cost $10 and will be automatically added to your first month's tuition.

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Previous Dance Training (including # of years and studio name)

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Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Previous Dance Training (including # of years and studio name)

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Previous Dance Training (including # of years and studio name)

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Previous Dance Training (including # of years and studio name)

Enroll in Classes

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Payment Information

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

Country

City

State/Prov

Postal Code

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Transit # (5-digits)

Institution ID (3-digits)

Account Number

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Registration

Referral Information

Family Information

Where do you live?

Additional Info

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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Student #2 (Show-Hide Details)

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