Lynch Dance Institute Online Registration

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Welcome! On behalf of our entire team, we are thrilled you have taken the first step in joining the LDI family! Our dedicated, passionate, and unparalleled staff of professionals look forward to meeting you and showing you the tremendous outcomes that are achieved when you invest in excellence.

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Referral Information

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Primary Phone*

Additional Info

Emergency Contact Info<br/>(Not Contact #1 or #2) Name and phone number*

Health Insurance Carrier*

Would you prefer zoom class?*

Contact #1

Contact #1 First Name*

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Contact #2

Contact #2 First Name

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Employer

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Student #1

Student's First Name*

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Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

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Medications (Leave blank if NONE)

Primary Doctor

Enrollment Requirements

As the LDI student body continues to grow and advance it is of great importance that we maintain a clear path of progression and are able to support each of our students on their journey to discovering their best self. We have established enrollment requirements for certain classes and ask that you review the information provided below before making your class selections.

-Any student enrolled in a Contemporary or Jazz class must be registered in a minimum of one ballet technique class per week

-Any student enrolled in a Ballet Level 3 class must enroll in a minimum of two ballet technique classes per week

-Any student enrolled in a Ballet Level 4 class must enroll in all three technique classes offered per week

-Any student enrolled in a Ballet Level 4 class must enroll in all three technique classes offered per week

-Any student enrolled in a Ballet Level 5 class must enroll in all three technique classes offered per week

-Any student enrolled in an Advanced level ballet class must enroll in a minimum of 3 technique classes per week

-In order to be eligible to perform in LDI productions each student must be enrolled in and attend the requirement for their level

Note that if you have not registered your child for the recommended classes sent by the directors, your child will be placed in the appropriate classes and will be confirmed via email.

Please click on the "Select Class" button below, then choose your classes.

Enroll in Classes

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

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

Cell #*

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Enrollment Requirements

As the LDI student body continues to grow and advance it is of great importance that we maintain a clear path of progression and are able to support each of our students on their journey to discovering their best self. We have established enrollment requirements for certain classes and ask that you review the information provided below before making your class selections.

-Any student enrolled in a Contemporary or Jazz class must be registered in a minimum of one ballet technique class per week

-Any student enrolled in a Ballet Level 3 class must enroll in a minimum of two ballet technique classes per week

-Any student enrolled in a Ballet Level 4 class must enroll in all three technique classes offered per week

-Any student enrolled in a Ballet Level 4 class must enroll in all three technique classes offered per week

-Any student enrolled in a Ballet Level 5 class must enroll in all three technique classes offered per week

-Any student enrolled in an Advanced level ballet class must enroll in a minimum of 3 technique classes per week

-In order to be eligible to perform in LDI productions each student must be enrolled in and attend the requirement for their level

Note that if you have not registered your child for the recommended classes sent by the directors, your child will be placed in the appropriate classes and will be confirmed via email.

Please click on the "Select Class" button below, then choose your classes.

Enroll in Classes

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

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

Cell #*

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Enrollment Requirements

As the LDI student body continues to grow and advance it is of great importance that we maintain a clear path of progression and are able to support each of our students on their journey to discovering their best self. We have established enrollment requirements for certain classes and ask that you review the information provided below before making your class selections.

-Any student enrolled in a Contemporary or Jazz class must be registered in a minimum of one ballet technique class per week

-Any student enrolled in a Ballet Level 3 class must enroll in a minimum of two ballet technique classes per week

-Any student enrolled in a Ballet Level 4 class must enroll in all three technique classes offered per week

-Any student enrolled in a Ballet Level 4 class must enroll in all three technique classes offered per week

-Any student enrolled in a Ballet Level 5 class must enroll in all three technique classes offered per week

-Any student enrolled in an Advanced level ballet class must enroll in a minimum of 3 technique classes per week

-In order to be eligible to perform in LDI productions each student must be enrolled in and attend the requirement for their level

Note that if you have not registered your child for the recommended classes sent by the directors, your child will be placed in the appropriate classes and will be confirmed via email.

Please click on the "Select Class" button below, then choose your classes.

Enroll in Classes

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

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

Cell #*

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Enrollment Requirements

As the LDI student body continues to grow and advance it is of great importance that we maintain a clear path of progression and are able to support each of our students on their journey to discovering their best self. We have established enrollment requirements for certain classes and ask that you review the information provided below before making your class selections.

-Any student enrolled in a Contemporary or Jazz class must be registered in a minimum of one ballet technique class per week

-Any student enrolled in a Ballet Level 3 class must enroll in a minimum of two ballet technique classes per week

-Any student enrolled in a Ballet Level 4 class must enroll in all three technique classes offered per week

-Any student enrolled in a Ballet Level 4 class must enroll in all three technique classes offered per week

-Any student enrolled in a Ballet Level 5 class must enroll in all three technique classes offered per week

-Any student enrolled in an Advanced level ballet class must enroll in a minimum of 3 technique classes per week

-In order to be eligible to perform in LDI productions each student must be enrolled in and attend the requirement for their level

Note that if you have not registered your child for the recommended classes sent by the directors, your child will be placed in the appropriate classes and will be confirmed via email.

Please click on the "Select Class" button below, then choose your classes.

Enroll in Classes

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

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

Cell #*

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Enrollment Requirements

As the LDI student body continues to grow and advance it is of great importance that we maintain a clear path of progression and are able to support each of our students on their journey to discovering their best self. We have established enrollment requirements for certain classes and ask that you review the information provided below before making your class selections.

-Any student enrolled in a Contemporary or Jazz class must be registered in a minimum of one ballet technique class per week

-Any student enrolled in a Ballet Level 3 class must enroll in a minimum of two ballet technique classes per week

-Any student enrolled in a Ballet Level 4 class must enroll in all three technique classes offered per week

-Any student enrolled in a Ballet Level 4 class must enroll in all three technique classes offered per week

-Any student enrolled in a Ballet Level 5 class must enroll in all three technique classes offered per week

-Any student enrolled in an Advanced level ballet class must enroll in a minimum of 3 technique classes per week

-In order to be eligible to perform in LDI productions each student must be enrolled in and attend the requirement for their level

Note that if you have not registered your child for the recommended classes sent by the directors, your child will be placed in the appropriate classes and will be confirmed via email.

Please click on the "Select Class" button below, then choose your classes.

Enroll in Classes

Add Another Student

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Exp Year *

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