In Step Dance Studio Online Registration

Registration

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Welcome to In Step Dance Studio! So happy you are here! Please fill out the following form for a fast and easy way to register online.

* 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 *

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

Student #1

Student's First Name*

Last Name*

Student Gender*

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

Cell #*

Additional Info

Student Email*

T-Shirt Size

Grade Level

Special Needs (Leave blank if NONE)*

Allergies (Leave blank if NONE)*

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)

Cell #*

Additional Info

Student Email*

T-Shirt Size

Grade Level

Special Needs (Leave blank if NONE)*

Allergies (Leave blank if NONE)*

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)

Cell #*

Additional Info

Student Email*

T-Shirt Size

Grade Level

Special Needs (Leave blank if NONE)*

Allergies (Leave blank if NONE)*

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)

Cell #*

Additional Info

Student Email*

T-Shirt Size

Grade Level

Special Needs (Leave blank if NONE)*

Allergies (Leave blank if NONE)*

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)

Cell #*

Additional Info

Student Email*

T-Shirt Size

Grade Level

Special Needs (Leave blank if NONE)*

Allergies (Leave blank if NONE)*

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

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Release of Liability

I agree to hold harmless P & P Dance Enterprises, LLC, dba In Step Dance Studio, its members, employees, agents, subcontractors, and volunteers from any and all claims for an injury, physical or emotional, that I, or my child may sustain in connection with their participation in class.

I've read the above and agree.

Payment Policy

Tuition payments may be made by cash, check or credit card.

Tuition for a full year (September through May) is divided into 9 installments and due on the 1st of the month. Payments made after the 7th of the month will be considered late and accrue a $5 late fee. After the 14th of the month (for which payment is due), the dancer will not be allowed to participate until their full balance is paid, including the late fee.

All paid tuition is non-refundable.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments

Payment Information

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*