Alabama Dance Works Studio Online Registration

Registration

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Welcome to the Alabama Dance Works Studio! Registration is available for our 2024 Summer Season beginning April 1st! ***Please Note: we will automatically charge your card for the non-refundable registration fee. Summer registration is $30 per dancer. Registration for our 2023-2024 dance season is $50 per child and includes an ADW t-shirt! ***

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Referral Information

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Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Name and Phone Number *

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell # * Receive Text Message Notifications

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Who is your employer?

Employer

Employer Phone

Employer Notes

Contact #2

Contact #2 First Name

Last Name

Type

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Home Phone

Work #

Cell # Receive Text Message Notifications

Email (Emails are kept confidential)

Confirm Email

Who is your employer?

Employer

Employer Phone

Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level*

Special Needs*

Allergies*

Medications*

Primary Doctor

To register for classes that are based on ability, not age, please contact Christina Hicks at the ADW Studio for a level assessment.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level*

Special Needs*

Allergies*

Medications*

Primary Doctor

To register for classes that are based on ability, not age, please contact Christina Hicks at the ADW Studio for a level assessment.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level*

Special Needs*

Allergies*

Medications*

Primary Doctor

To register for classes that are based on ability, not age, please contact Christina Hicks at the ADW Studio for a level assessment.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level*

Special Needs*

Allergies*

Medications*

Primary Doctor

To register for classes that are based on ability, not age, please contact Christina Hicks at the ADW Studio for a level assessment.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size*

School*

Grade Level*

Special Needs*

Allergies*

Medications*

Primary Doctor

To register for classes that are based on ability, not age, please contact Christina Hicks at the ADW Studio for a level assessment.

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

Account Information

Payment Schedule*

Membership Type*

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)

Who is your employer?

Contact #2

How can we contact you?

Who is your employer?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

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Student #3 (Show-Hide Details)

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