Center Stage Dance and Tumbling Online Registration

Registration

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Welcome to Center Stage Dance and Tumbling! We are thrilled to serve you this dance season! Center Stage has a great reputation and has been named by Dancer Magazine as one of the top 10 dance studios in the USA! Please complete the following registration form.

* 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*

Home or Primary Phone*

Additional Info

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

Contact #1

Contact #1 First Name*

Last Name *

Type*

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

Contact #2

Contact #2 First Name

Last Name

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Waiver/Policy Concurrence

Please read carefully and be aware that in signing up and participating in the above program, you will be waiving and releasing all claims for injuries arising out of this program that you or the above participant might sustain:

I do hereby fully release and discharge Center Stage Dance and Tumbling, its officers, agents, servants and employees from any and all claims from injuries, damage or loss which I (or dependents under 18 years of age) may have or which my accrue to me (or dependents) on account of my (their) participation in the above Center Stage Dance and Tumbling sponsored activities.

I further agree to indemnify and hold harmless and defend Center Stage Dance and Tumbling, its officers, agents, servants, and employees from any and all claims resulting from injuries, damages, and losses sustained by me (or dependents under 18 years of age) and arising out of, connected with, or in any way associated with these activities sponsored by Center Stage Dance and Tumbling. Aspire Dance Company members: By signing below I confirm that I have received, read, understand and comply to agree with the terms as detailed in the Aspire Commitment Letter.

Registration is for the entire session. If you need to cancel for any reason billing will continue until you notify the office in writing or via email.

All outstanding balances will be charged a fee if not paid in a timely fashion.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments