Centerstage Dance Academy Online Registration

Registration

Already a customer? Click here to login.

Welcome to Centerstage Dance Academy! Please complete the following registration form.
If you are looking for our camps, please fill out the form, do not choose a class and log in to the parent portal to select your camp

* 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*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell # *

By providing your phone number and checking this box, you agree to receive transactional and informational SMS messages from Centerstage Dance Academy. 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

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell #

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

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

Grade Level

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

To find our camps, you do not need to select a class. Just submit the form and log in to the portal to find our camps

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

Grade Level

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

To find our camps, you do not need to select a class. Just submit the form and log in to the portal to find our camps

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

Grade Level

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

To find our camps, you do not need to select a class. Just submit the form and log in to the portal to find our camps

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

Grade Level

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

To find our camps, you do not need to select a class. Just submit the form and log in to the portal to find our camps

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

Grade Level

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

To find our camps, you do not need to select a class. Just submit the form and log in to the portal to find our camps

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Add Another Student

Required Policies

(Show-Hide Details)

I Agree to All of the Above

Enter your Full Name* June 15, 2026

Questions or Concerns

Comments

Payment Information

Account Information

e-Payment Schedule

Membership Type

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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