Dance Dayz Studio Online Registration

Registration

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Hi! Trinity here, and I am thrilled to welcome you to Dance Dayz Studio! We specialize in youth recreational dance classes and are SO excited to have your family join us for dancing, growing, and thriving! Fill out this Quick form then log in to your portal to select your dancer's desired classes!

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)*

Contact #1

Contact #1 First Name*

Last Name *

How Can We Contact You?

Home Phone *

Cell #

By providing your phone number and checking this box, you agree to receive transactional and informational SMS messages from Dance Dayz Studio. Message frequency may vary. Message and data rates may apply. Reply STOP to opt out and HELP for help.

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*

Birth Date*

Additional Info

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Classes are displayed for each age group. Petite is ages 3-4 years old, Mini is ages 5-6 years old, Junior is aged 7-8, and our leveled classes are for ages 8 and up.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Classes are displayed for each age group. Petite is ages 3-4 years old, Mini is ages 5-6 years old, Junior is aged 7-8, and our leveled classes are for ages 8 and up.

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Classes are displayed for each age group. Petite is ages 3-4 years old, Mini is ages 5-6 years old, Junior is aged 7-8, and our leveled classes are for ages 8 and up.

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Classes are displayed for each age group. Petite is ages 3-4 years old, Mini is ages 5-6 years old, Junior is aged 7-8, and our leveled classes are for ages 8 and up.

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Classes are displayed for each age group. Petite is ages 3-4 years old, Mini is ages 5-6 years old, Junior is aged 7-8, and our leveled classes are for ages 8 and up.

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

City

State

Zip*

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

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