Registration


Welcome to Heartbeat Dance Center! Please complete this online registration form to participate in our dance programs. Please log into our Customer Portal to pay with your saved payment method or contact our office for payment options. If you are interested in a trial class, please submit this form without selecting a class and send an email dance@heartbeatdance.com with your request. We look forward to dancing with you!

*   denotes required fields

Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
(Emails are kept confidential)
Student #1
(format=mm/dd/yyyy)
Additional Info

Please click on the Search button below, then choose the class. If you have trouble finding the class you are looking for, please contact us for assistance.

Enroll in Classes
Select Class
Required Policies
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Questions or Concerns
Payment Information
Credit Card
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