No Limits Dance Academy Online Registration

Please register your child to be added to our email list, register for classes, be added to waiting lists and to pay your tuition online once your dancer is enrolled. Thank you!

* 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 *

Type

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

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

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

Cell #

Additional Info

Student Email

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Tap, jazz, ballet or hip hop?*

Previous dance experience?*

Arcata or McKinleyville?*

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

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

Cell #

Additional Info

Student Email

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Tap, jazz, ballet or hip hop?*

Previous dance experience?*

Arcata or McKinleyville?*

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

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

Cell #

Additional Info

Student Email

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Tap, jazz, ballet or hip hop?*

Previous dance experience?*

Arcata or McKinleyville?*

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

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

Cell #

Additional Info

Student Email

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Tap, jazz, ballet or hip hop?*

Previous dance experience?*

Arcata or McKinleyville?*

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

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

Cell #

Additional Info

Student Email

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Tap, jazz, ballet or hip hop?*

Previous dance experience?*

Arcata or McKinleyville?*

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

Do you want to enroll in auto pay?*

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

Registration

Referral Information

Family Information

Where do you live?

Additional Info

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

Student #2 (Show-Hide Details)

Additional Info

Student #3 (Show-Hide Details)

Additional Info

Student #4 (Show-Hide Details)

Additional Info

Student #5 (Show-Hide Details)

Additional Info

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Account Information

Credit Card

Required Policies

(Show-Hide Details)