Artistic Endeavors Dance Online Registration

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Welcome to Artistic Endeavors Dance! Artistic Endeavors does not refund tuition after Session start dates. For your convenience, Students are auto enrolled Sept-May session to session unless you "drop". Drop requests must be submitted before the next session begins. Tuition credits are not available. If a refund is requested before the session has started, there is a $50 refund charge.

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Family Information

Family Last Name*

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Home Address*

City*

State*

Zip*

Primary Phone*

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

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Birth Date*

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Add Another Student

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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*

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Registration

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

Student #2 (Show-Hide Details)

Student #3 (Show-Hide Details)

Student #4 (Show-Hide Details)

Student #5 (Show-Hide Details)

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

Required Policies

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