Dance Concepts Online Registration

Registration

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Welcome to the Dance Concepts family! We're so excited to have you dancing with us. Just fill out the form below to register.

* 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*

Home or Primary Phone*

Contact #1

Parent One First Name*

Last Name *

Relationship

How Can We Contact You?

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

Parent Two First Name

Last Name

Relationship

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Dancer Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

Allergies (Leave blank if NONE)

Choose your classes below. Don't worry, we'll review your registration to make sure your dancer is in the best class for her/him.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Dancer Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

Allergies (Leave blank if NONE)

Choose your classes below. Don't worry, we'll review your registration to make sure your dancer is in the best class for her/him.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Dancer Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

Allergies (Leave blank if NONE)

Choose your classes below. Don't worry, we'll review your registration to make sure your dancer is in the best class for her/him.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Dancer Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

Allergies (Leave blank if NONE)

Choose your classes below. Don't worry, we'll review your registration to make sure your dancer is in the best class for her/him.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Dancer Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

Allergies (Leave blank if NONE)

Choose your classes below. Don't worry, we'll review your registration to make sure your dancer is in the best class for her/him.

Enroll in Classes

Select Class

Add Another Student