Dance Matters NYC Online Registration

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Welcome to Dance Matters NYC! Our promise to you is to offer your dancer an engaging, enriching, inclusive and inspiring dance experience!

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Referral Information

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Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell # *

Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Dance Matters NYC. Standard message and data rates apply. Reply STOP to opt out

Portal Access (your email is your login)

Email* (Emails are kept confidential)

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Portal Account Password

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Contact #2

Contact #2 First Name

Last Name

Type

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Home Phone

Work #

Cell # * Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Dance Matters NYC. Standard message and data rates apply. Reply STOP to opt out

Email (Emails are kept confidential)

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Student #1

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

T-Shirt Size

School Name

Grade Level*

Allergies (Leave blank if NONE)

Photo and Media Release

Click on the Search button below, then choose the class you would like to join.

If you are registering for a FREE TRIAL CLASS, you will not be charged anything until you've decided to officially register.

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

T-Shirt Size

School Name

Grade Level*

Allergies (Leave blank if NONE)

Photo and Media Release

Click on the Search button below, then choose the class you would like to join.

If you are registering for a FREE TRIAL CLASS, you will not be charged anything until you've decided to officially register.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

T-Shirt Size

School Name

Grade Level*

Allergies (Leave blank if NONE)

Photo and Media Release

Click on the Search button below, then choose the class you would like to join.

If you are registering for a FREE TRIAL CLASS, you will not be charged anything until you've decided to officially register.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

T-Shirt Size

School Name

Grade Level*

Allergies (Leave blank if NONE)

Photo and Media Release

Click on the Search button below, then choose the class you would like to join.

If you are registering for a FREE TRIAL CLASS, you will not be charged anything until you've decided to officially register.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

T-Shirt Size

School Name

Grade Level*

Allergies (Leave blank if NONE)

Photo and Media Release

Click on the Search button below, then choose the class you would like to join.

If you are registering for a FREE TRIAL CLASS, you will not be charged anything until you've decided to officially register.

Enroll in Classes

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Account Number

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Registration

Referral Information

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

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Student #3 (Show-Hide Details)

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Questions or Concerns

Payment Information

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Required Policies

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