Dance Spectrum Inc. Online Registration

Registration

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Thank you for your interest in Dance Spectrum Inc. Please fill out the form below and submit it with your $30.00 Registration Fee. Please feel free to use the comment box for any questions, previous dance experience, and/or other relevant information needed to complete your registration. If you have any registration questions, please call us at 403-240-4594 or Email us at registration@DanceSpectrumCalgary.com

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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*

Province - Please use: AB*

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=dd/mm/yyyy)

Additional Info

T-Shirt Size

Health Concerns

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

We offer: Combo classes (full year) for ages 3 - 5. Tap, Jazz and Ballet classes for ages 5 and up. Acro Dance for ages 6 and up. Musical Theatre and Hip Hop classes for ages 7 and up.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

T-Shirt Size

Health Concerns

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

We offer: Combo classes (full year) for ages 3 - 5. Tap, Jazz and Ballet classes for ages 5 and up. Acro Dance for ages 6 and up. Musical Theatre and Hip Hop classes for ages 7 and up.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

T-Shirt Size

Health Concerns

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

We offer: Combo classes (full year) for ages 3 - 5. Tap, Jazz and Ballet classes for ages 5 and up. Acro Dance for ages 6 and up. Musical Theatre and Hip Hop classes for ages 7 and up.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

T-Shirt Size

Health Concerns

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

We offer: Combo classes (full year) for ages 3 - 5. Tap, Jazz and Ballet classes for ages 5 and up. Acro Dance for ages 6 and up. Musical Theatre and Hip Hop classes for ages 7 and up.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

T-Shirt Size

Health Concerns

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

We offer: Combo classes (full year) for ages 3 - 5. Tap, Jazz and Ballet classes for ages 5 and up. Acro Dance for ages 6 and up. Musical Theatre and Hip Hop classes for ages 7 and up.

Enroll in Classes

Select Class

Add Another Student