Dream Studio Dance and Movement LLC Online Registration

Registration

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Welcome to Dream Studio Dance and Movement LLC! Whether you are new to the Studio, or a returning student, please take the time to fill out this form in its entirety. If you have multiple students registering for classes, you can click on the Add Student button on this form, then enter the information pertaining to that student. During the pandemic all families will be billed monthly for tuition.

* denotes required fields

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or 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

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

Cell # *

Email* (Emails are kept confidential)

Confirm Email*

Student #1

Student's First Name*

Last Name*

Student Gender*

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

Cell #

Additional Info

Student Email

Grade Level*

Allergies*

Photo/video release (Y/N)*

Please click on the Search button below, then choose the class. If you have any questions about classes that are offered, please ask Lara Ganz or Patty McNulty before enrolling.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Cell #

Additional Info

Student Email

Grade Level*

Allergies*

Photo/video release (Y/N)*

Please click on the Search button below, then choose the class. If you have any questions about classes that are offered, please ask Lara Ganz or Patty McNulty before enrolling.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Cell #

Additional Info

Student Email

Grade Level*

Allergies*

Photo/video release (Y/N)*

Please click on the Search button below, then choose the class. If you have any questions about classes that are offered, please ask Lara Ganz or Patty McNulty before enrolling.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Cell #

Additional Info

Student Email

Grade Level*

Allergies*

Photo/video release (Y/N)*

Please click on the Search button below, then choose the class. If you have any questions about classes that are offered, please ask Lara Ganz or Patty McNulty before enrolling.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Cell #

Additional Info

Student Email

Grade Level*

Allergies*

Photo/video release (Y/N)*

Please click on the Search button below, then choose the class. If you have any questions about classes that are offered, please ask Lara Ganz or Patty McNulty before enrolling.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

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*

Jackrabbit Technologies' class management platform & registration portal is trusted by 1000s of
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Registration

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)