KMC Dance Albertville Online Registration

Registration

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Welcome to KMC Dance Albertville! We are excited to start our 2024-2025 Dance Season! We have made enrolling your students easy and convenient. Please complete the following registration form. Once you have registered your dancer you will be able to see complete class listings. If you have questions about the correct class option for your dancer, please email Christine at kmcdancealbertville@gmail.com

* 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)*

Health Insurance Carrier*

Contact #1

Contact #1 First Name*

Last Name *

Parent Guardian Information*

How Can We Contact You?

Home Phone

Cell #

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

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

Parent/Guardian Information

How can we contact you?

Home Phone

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

Email* (Emails are kept confidential)

Confirm Email*

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

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

Additional Info

Student Email

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

If you have a new student and have questions about what class you should register them for, please reach out to us via email kmcdancealbertville@gmail.com.

Your dancer should have dance attire and the required shoes before the first day of class. The KMC studio sells shoes and dancewear. Check our open house or free sample class days to get fitted for shoes so your dancer is ready for class.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

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

Additional Info

Student Email

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

If you have a new student and have questions about what class you should register them for, please reach out to us via email kmcdancealbertville@gmail.com.

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

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

Additional Info

Student Email

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

If you have a new student and have questions about what class you should register them for, please reach out to us via email kmcdancealbertville@gmail.com.

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

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

Additional Info

Student Email

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

If you have a new student and have questions about what class you should register them for, please reach out to us via email kmcdancealbertville@gmail.com.

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

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

Additional Info

Student Email

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

If you have a new student and have questions about what class you should register them for, please reach out to us via email kmcdancealbertville@gmail.com.

Enroll in Classes

Select Class *

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

e-Payment Schedule

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

Referral Information

Family Information

Where do you live?

Additional Info

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

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

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I Agree to All of the Above

Questions or Concerns

Payment Information

Account Information

Credit Card

Required Policies

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