H4L DanceCompany Online Registration

Registration

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Welcome to H4L DanceCompany! Please complete the following registration form.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Nom Famille / Last Name*

Where do you live?

Home Address*

City*

Prov.*

Code Postal / Postal*

Primary Phone*

Additional Info

Emergency Contact Info*

Contact #1

First Name*

Last Name *

How Can We Contact You?

Home Phone

Work #

Cell #

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Student #1

Student's First Name*

Last Name*

Gender*

Birth Date*

Additional Info

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Click on the Select Class button below, then choose the class. If your desired class is full, we recommend adding yourself to the waitlist where you will be notified of any openings.

***LYRICAL CLASSES: The studio will take care of your ballet class registration from our end. The price for lyrical includes the ballet class***

Please note that if you select "Waitlist", this is not an official registration for the class. If a spot opens up, you will be notified.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date*

Additional Info

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Click on the Select Class button below, then choose the class. If your desired class is full, we recommend adding yourself to the waitlist where you will be notified of any openings.

***LYRICAL CLASSES: The studio will take care of your ballet class registration from our end. The price for lyrical includes the ballet class***

Please note that if you select "Waitlist", this is not an official registration for the class. If a spot opens up, you will be notified.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date*

Additional Info

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Click on the Select Class button below, then choose the class. If your desired class is full, we recommend adding yourself to the waitlist where you will be notified of any openings.

***LYRICAL CLASSES: The studio will take care of your ballet class registration from our end. The price for lyrical includes the ballet class***

Please note that if you select "Waitlist", this is not an official registration for the class. If a spot opens up, you will be notified.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date*

Additional Info

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Click on the Select Class button below, then choose the class. If your desired class is full, we recommend adding yourself to the waitlist where you will be notified of any openings.

***LYRICAL CLASSES: The studio will take care of your ballet class registration from our end. The price for lyrical includes the ballet class***

Please note that if you select "Waitlist", this is not an official registration for the class. If a spot opens up, you will be notified.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date*

Additional Info

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Click on the Select Class button below, then choose the class. If your desired class is full, we recommend adding yourself to the waitlist where you will be notified of any openings.

***LYRICAL CLASSES: The studio will take care of your ballet class registration from our end. The price for lyrical includes the ballet class***

Please note that if you select "Waitlist", this is not an official registration for the class. If a spot opens up, you will be notified.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

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

Country *

City

Prov.*

Code Postal / Postal*

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Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

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

Credit Card

Required Policies

(Show-Hide Details)