WEBBY Dance Company - West Chester Online Registration

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WEBBY Dance Company is now offering fun and creative Dance & Gymnastics classes at your school! Research shows that movement and exercise can spark the growth of new brain cells and facilitate learning. At WEBBY Dance Company, enriching the lives of children through Creative Movement, Dance, and Gymnastics is our passion! Register Today!!!

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Registration Information

Student's Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

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*

Additional Info

T-Shirt Size*

Special Needs (leave blank if none)

Allergies (leave blank if none)

Please choose the class you wish for your child to enroll in. You can search for classes based on where your child goes to school.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Special Needs (leave blank if none)

Allergies (leave blank if none)

Please choose the class you wish for your child to enroll in. You can search for classes based on where your child goes to school.

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Special Needs (leave blank if none)

Allergies (leave blank if none)

Please choose the class you wish for your child to enroll in. You can search for classes based on where your child goes to school.

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Special Needs (leave blank if none)

Allergies (leave blank if none)

Please choose the class you wish for your child to enroll in. You can search for classes based on where your child goes to school.

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Special Needs (leave blank if none)

Allergies (leave blank if none)

Please choose the class you wish for your child to enroll in. You can search for classes based on where your child goes to school.

Enroll in Classes

Select Class *

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

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

Registration Information

Where do you live?

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

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

Required Policies

(Show-Hide Details)