The Bolton Dance Academy Online Registration

Registration

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Welcome to The Bolton Dance Academy! Please complete the following registration form. We do not post our schedule online as it would be too confusing and difficult to understand with 4 classes with different styles and different ages going on at one time. Once you complete the registration, choosing what genres of dance you would like to sign up for, we will complete our schedule and send you multiple day and class time choices for you to choose what works best for your family.

* denotes required fields

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info Name and Phone Number<br/>(Not Contact #1 or #2)*

Contact #1

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*

Student Gender*

Birth Date*

Additional Info

Grade Level*

Returning Student Yes/No?*

Please click on the select button below, then choose your desired class or classes. Please enter additional information that you would like to share with us in the comments section below, (For Example: Unavailable days, prior dance experience). If you are interested in a solo, semi, triple, quad, and or exclusive (at least 5 students) class please let us know that and what type of dance and what student(s) you are interested in taking the class with.

Thank you and we look forward to dancing with you soon as our 2024-2025 dance season starts Monday September 16, 2024.

Regular Class $10.00

Solo Class $32.50

Semi Class $19.50

Triple Class $17.50

Quad Class $16.50

Exclusive Class $14.50

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Grade Level*

Returning Student Yes/No?*

Thank you and we look forward to dancing with you soon as our 2024-2025 dance season starts Monday September 16, 2024.

Regular Class $10.00

Solo Class $32.50

Semi Class $19.50

Triple Class $17.50

Quad Class $16.50

Exclusive Class $14.50

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Grade Level*

Returning Student Yes/No?*

Thank you and we look forward to dancing with you soon as our 2024-2025 dance season starts Monday September 16, 2024.

Regular Class $10.00

Solo Class $32.50

Semi Class $19.50

Triple Class $17.50

Quad Class $16.50

Exclusive Class $14.50

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Grade Level*

Returning Student Yes/No?*

Thank you and we look forward to dancing with you soon as our 2024-2025 dance season starts Monday September 16, 2024.

Regular Class $10.00

Solo Class $32.50

Semi Class $19.50

Triple Class $17.50

Quad Class $16.50

Exclusive Class $14.50

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Grade Level*

Returning Student Yes/No?*

Thank you and we look forward to dancing with you soon as our 2024-2025 dance season starts Monday September 16, 2024.

Regular Class $10.00

Solo Class $32.50

Semi Class $19.50

Triple Class $17.50

Quad Class $16.50

Exclusive Class $14.50

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

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Registration

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)