Registration


Welcome to Kelli's Kreative Dance! Please complete the following registration form. This form is just to set up your family account. In the near future, we will be offering credit cards and/or online payments. If you choose to use this service, there were be a $5 convenience fee charged to your account monthly. We will still accept checks or cash with no extra convenience fee. PLEASE ONLY FILL OUT THIS FORM ONCE! If you need to make corrections, you can do so by accessing your Parent Portal.

*   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
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns
Payment Information
Credit Card