WEBBY Dance Company - Greater San Antonio Online Registration

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Welcome to TWIRL AND TAP DANCE, LLC dba WEBBY Dance Company - Greater San Antonio online registration! Children will benefit by building their memory, concentration, coordination, creativity and self-confidence, all in a positive atmosphere. Sign up NOW!!! There is a $35 non-refundable enrollment fee that is charged each year when enrolling in a school or studio based class. Please review and understand our policies below before submitting form.

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Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Contact #1

Contact 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

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School

Grade Level *Required for our school based classes.

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

T-Shirt Size (XS, S, M, L) *

Classroom# or Teacher's Name*

Please click on the Select Class button below, then choose the class.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School

Grade Level *Required for our school based classes.

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

T-Shirt Size (XS, S, M, L) *

Classroom# or Teacher's Name*

Please click on the Select Class button below, then choose the class.

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School

Grade Level *Required for our school based classes.

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

T-Shirt Size (XS, S, M, L) *

Classroom# or Teacher's Name*

Please click on the Select Class button below, then choose the class.

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School

Grade Level *Required for our school based classes.

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

T-Shirt Size (XS, S, M, L) *

Classroom# or Teacher's Name*

Please click on the Select Class button below, then choose the class.

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School

Grade Level *Required for our school based classes.

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

T-Shirt Size (XS, S, M, L) *

Classroom# or Teacher's Name*

Please click on the Select Class button below, then choose the class.

Enroll in Classes

Select Class *

Add Another Student

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Questions or Concerns

Comments

Payment Information

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*

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Registration

Family Information

Where do you live?

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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I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

Required Policies

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