Inspire Dance Academy Online Registration

Registration

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Hello! We are now enrolling for our 2024 Summer session! We do NOT accept payments through this portal, they must be done in person or paid via the link on our website. 50% Deposit is due at registration, the remaining due must be paid at first class! Thank you for choosing Inspire!

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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 Info (Not Contact #1 or #2)*

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)

Hello!

We are now enrolling for our 2024 Summer session!

We do NOT accept payments through this portal, they must be done in person or paid via the link on our website.
50% Deposit is due at registration, the remaining due must be paid at first class!

Thank you for choosing Inspire!

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)

Hello!

We are now enrolling for our 2024 Summer session!

We do NOT accept payments through this portal, they must be done in person or paid via the link on our website.
50% Deposit is due at registration, the remaining due must be paid at first class!

Thank you for choosing Inspire!

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)

Hello!

We are now enrolling for our 2024 Summer session!

We do NOT accept payments through this portal, they must be done in person or paid via the link on our website.
50% Deposit is due at registration, the remaining due must be paid at first class!

Thank you for choosing Inspire!

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)

Hello!

We are now enrolling for our 2024 Summer session!

We do NOT accept payments through this portal, they must be done in person or paid via the link on our website.
50% Deposit is due at registration, the remaining due must be paid at first class!

Thank you for choosing Inspire!

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)

Hello!

We are now enrolling for our 2024 Summer session!

We do NOT accept payments through this portal, they must be done in person or paid via the link on our website.
50% Deposit is due at registration, the remaining due must be paid at first class!

Thank you for choosing Inspire!

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

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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

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Questions or Concerns

Required Policies

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