Registration


Welcome to Sampul Dance Academy! Please complete the following registration form if you're trialing a class or ready to join our family by selecting the class(s) you're interested in taking and filling out the boxes with red stars below. If you have any questions please call us at 818-341-3499 or email at sampuldanceacademy@gmail.com and one of our staff will be happy to help you.

*   denotes required fields

Referral Information
Family Information
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

Please click on the Search button below, then choose the class or camp you'd like to enroll in. 

Enroll in Classes
Select Class *
Required Policies
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Questions or Concerns
Payment Information
Credit Card
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