West Valley Dance Company Online Registration

Registration

Already a customer? Click here to login.

Welcome to West Valley Dance Company! We are a premiere studio located in San Jose that provides superior instruction for dancers from 18 months of age through adulthood. Our talented and experienced staff recognize the importance of a child's development at any age: ensuring our lessons go beyond those of the dance studio. Register today to ensure you or your dancer receives the top-notch instruction we are known for!

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Additional Info

Emergency Contact Other than Parent*

Social Security Number*

Driver's License Number*

Contact Birthday*

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 West Valley Dance Company. 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

Optional: 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 West Valley Dance Company. 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

School

Grade Level

Allergies (if none leave blank)

Recital Participation? Y/N*

All of our classes participate in our annual dance recital every summer. Participation is optional. For all dancers participating, a $95 costume fee (per class enrolled in) and a $75 recital fee (per dancer) will be billed to your account. Once these fees are paid they are non-refundable. Please inquire with the studio office at (408) 217-8106 regarding recital participation.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

School

Grade Level

Allergies (if none leave blank)

Recital Participation? Y/N*

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

School

Grade Level

Allergies (if none leave blank)

Recital Participation? Y/N*

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

School

Grade Level

Allergies (if none leave blank)

Recital Participation? Y/N*

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

School

Grade Level

Allergies (if none leave blank)

Recital Participation? Y/N*

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

Membership Type: Select AS if you are an Action Day Family, otherwise select Annual.*

Please fill out ONE of the following Payment Methods

Jackrabbit Technologies' class management platform & registration portal is trusted by 1000s of
dance studios , gyms , swim schools , music schools , cheer gyms , childcare centers , and more .

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)

I Agree to All of the Above

Questions or Concerns

Payment Information

Account Information

Required Policies

(Show-Hide Details)