Infinity Dance Academy Online Registration

Registration

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Sorry, but this class is no longer available.

Please fill out one form per family. If you have more than one dancer, you may list/register them together on this form. Sign up now!

* denotes required fields

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*

Contact #1

Primary Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Cell # *

Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Infinity Dance Academy. 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

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

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

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender

Birth Date*

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

Additional Info

Student Email

T-Shirt Size*

School

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Performing in Recital (Summer)*

Choose your class now!

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

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

Additional Info

Student Email

T-Shirt Size*

School

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Performing in Recital (Summer)*

Choose your class now!

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

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

Additional Info

Student Email

T-Shirt Size*

School

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Performing in Recital (Summer)*

Choose your class now!

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

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

Additional Info

Student Email

T-Shirt Size*

School

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Performing in Recital (Summer)*

Choose your class now!

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

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

Additional Info

Student Email

T-Shirt Size*

School

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Performing in Recital (Summer)*

Choose your class now!

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

e-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)

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

Account Information

Credit Card

Required Policies

(Show-Hide Details)