Studio 2 Dance Online Registration

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Welcome to Studio 2 Dance!

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Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

Contact #1

Primary Contact First Name*

Last Name *

How Can We Contact You?

Home Phone

Cell # * Receive Text Message Notifications

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Emergency Contact First Name

Last Name

How can we contact you?

Home Phone

Cell # * Receive Text Message Notifications

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender

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

Cell # Receive Text Message Notifications

Additional Info

Student Email

Medical Conditions Incl. Allergies (Or Type NONE)*

Medications (Or Type NONE)*

CLICK 'YES' TO TRIAL CLASS

CLICK 'NO' TO ENROL

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

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

Cell # Receive Text Message Notifications

Additional Info

Student Email

Medical Conditions Incl. Allergies (Or Type NONE)*

Medications (Or Type NONE)*

CLICK 'YES' TO TRIAL CLASS

CLICK 'NO' TO ENROL

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

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

Cell # Receive Text Message Notifications

Additional Info

Student Email

Medical Conditions Incl. Allergies (Or Type NONE)*

Medications (Or Type NONE)*

CLICK 'YES' TO TRIAL CLASS

CLICK 'NO' TO ENROL

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

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

Cell # Receive Text Message Notifications

Additional Info

Student Email

Medical Conditions Incl. Allergies (Or Type NONE)*

Medications (Or Type NONE)*

CLICK 'YES' TO TRIAL CLASS

CLICK 'NO' TO ENROL

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

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

Cell # Receive Text Message Notifications

Additional Info

Student Email

Medical Conditions Incl. Allergies (Or Type NONE)*

Medications (Or Type NONE)*

CLICK 'YES' TO TRIAL CLASS

CLICK 'NO' TO ENROL

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

Registration

Referral Information

Family Information

Where do you live?

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

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Questions or Concerns

Required Policies

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