Cumming Dance Academy Online Registration

Registration

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Registration for our 2024-2025 season is now open. Classes begin the week of August 5th. For questions, please email sara@cummingdanceacademy.com.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name*

Family Information

Family (Last) Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info

Promo Code

Contact #1

Parents First Name*

Last Name *

How Can We Contact You?

Cell # *

Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Cumming Dance Academy. Standard message and data rates apply. Reply STOP to opt out

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Additional Parent/Guardian First Name

Last Name

How can we contact you?

Cell # * Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Cumming Dance Academy. Standard message and data rates apply. Reply STOP to opt out

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School

Grade Level*

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please select your classes below. **PLEASE NOTE: Your card will be charged a $40 registration fee ($15 for each additional sibling) and monthly tuition in 5-7 business days. To view your tuition total, please refer to our fee schedule located online.

Questions about enrollment? Email sara@cummingdanceacademy.com.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School

Grade Level*

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Questions about enrollment? Email sara@cummingdanceacademy.com.

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School

Grade Level*

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Questions about enrollment? Email sara@cummingdanceacademy.com.

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School

Grade Level*

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Questions about enrollment? Email sara@cummingdanceacademy.com.

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School

Grade Level*

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Questions about enrollment? Email sara@cummingdanceacademy.com.

Enroll in Classes

Select Class *

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

Account Information

e-Payment Schedule*

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

City

State

Zip*

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Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

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Student #5 (Show-Hide Details)

Additional Info

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Questions or Concerns

Payment Information

Account Information

Credit Card

Required Policies

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