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

How did you hear about us?*

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. By opting in, you agree to receive SMS messages from Alabama Dance Works Studio. 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

Who is your employer?

Employer

Employer Phone

Employer Notes

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

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

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)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

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Questions or Concerns

Payment Information

Account Information

Credit Card

Required Policies

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