The Dance Center of Greensboro Online Registration

Registration

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Thank you for your online registration! Your non-refundable registration fee ($20 for one dancer and $10 for each additional dancer) will be drafted from your card on file in 1 - 3 business days. Please be sure you have read and agree to the policies found in the student handbook on your portal home page as well as on the Dance Center website. Summer session will begin Monday, June 18, 2018!

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name*

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

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

Student Email

School

Grade Level

Disabilites

Special Needs

Allergies

Medications

Primary Doctor

Student #1

Student #2

Student #3

Choose any filter to narrow your search.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

(format=mm/dd/yyyy)

Additional Info

Student Email

School

Grade Level

Disabilites

Special Needs

Allergies

Medications

Primary Doctor

Student #1

Student #2

Student #3

Choose any filter to narrow your search.

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

(format=mm/dd/yyyy)

Additional Info

Student Email

School

Grade Level

Disabilites

Special Needs

Allergies

Medications

Primary Doctor

Student #1

Student #2

Student #3

Choose any filter to narrow your search.

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

Student Email

School

Grade Level

Disabilites

Special Needs

Allergies

Medications

Primary Doctor

Student #1

Student #2

Student #3

Choose any filter to narrow your search.

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

Student Email

School

Grade Level

Disabilites

Special Needs

Allergies

Medications

Primary Doctor

Student #1

Student #2

Student #3

Choose any filter to narrow your search.

Enroll in Classes

Select Class *

Add Another Student

Required Policies and Agreements

Summer 2018 Registration

A non-refundable fee is required at registration. Classes are confirmed with completed registration fee payment. Registration Fees are: $20.00 for the first student, plus $10.00 per additional student. All registration fees are automatically drafted from your credit or debit card on file within the next 1-3 business days.