Cobequid Dance Academy Inc. Registration Form

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Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
(Emails are kept confidential)
Student #1
Additional Info

Please note, your payment method will NOT automatically be charged. If you would like information on our payment plans and/or alternate payment methods, please email us at A valid credit card is still required to complete your registration. If we do not receive a payment plan request, we will proceed with processing your card for the full tuition amount on September 5th.

If you have just enrolled in our Early Childhood Movement Program, a welcome letter with some additional information regarding the program will be emailed to you in September, prior to the start of classes.

For all programs, information on our dress code and studio policies can be found on our website under the "more" tab.

Thank you for enrolling at Cobequid Dance Academy. We look forward to meeting you!

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Payment Information
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Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
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