Registration


Welcome to Wellspring Dance Academy's online class registration and payment system.  If you have questions about registering, please call us at 269-342-4354 or send an email with questions to wellspring@wellspringdance.org. 

*   denotes required fields

Referral Information
Family Name
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
(format=mm/dd/yyyy)
Additional Info
Enroll in Classes
Select Another Class
Required Policies and Agreements
 (Show-Hide Details)
I Agree to All of the Above
Questions or Concerns
Payment Information
Account Information
Please fill out CREDIT CARD Payment Method
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)