NorthPointe Dance Academy Online Registration

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Now registering for the 2024-25 Season!! Summer Camps 2024 still open for registration!

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Referral Information

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Referral Name

Account Information

Account Last Name*

Where do you live?

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 # * 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

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell # Receive Text Message Notifications

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Texting Policies for NorthPointe Dance Academy

By selecting the box "Receive Text Message Notifications" on this form, you are agreeing to our Informed Consent for Text (SMS) Messaging terms, conditions and privacy policy, Click Here for Texting Policies

You will give consent to NorthPointe Dance Academy to send occasional text messages regarding class changes, business closings, upcoming events, and account notifications.

No mobile information will be shared with third parties/affiliates for marketing/promotional purposes or for any other reason.

NorthPointe Dance Academy does not sell, share or trade our customers/users phone numbers.

If you have questions, please call us at (740) 548-4600

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Texting Policies for NorthPointe Dance Academy

You will give consent to NorthPointe Dance Academy to send occasional text messages regarding class changes, business closings, upcoming events, and account notifications.

No mobile information will be shared with third parties/affiliates for marketing/promotional purposes or for any other reason.

NorthPointe Dance Academy does not sell, share or trade our customers/users phone numbers.

If you have questions, please call us at (740) 548-4600

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Texting Policies for NorthPointe Dance Academy

You will give consent to NorthPointe Dance Academy to send occasional text messages regarding class changes, business closings, upcoming events, and account notifications.

No mobile information will be shared with third parties/affiliates for marketing/promotional purposes or for any other reason.

NorthPointe Dance Academy does not sell, share or trade our customers/users phone numbers.

If you have questions, please call us at (740) 548-4600

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Texting Policies for NorthPointe Dance Academy

You will give consent to NorthPointe Dance Academy to send occasional text messages regarding class changes, business closings, upcoming events, and account notifications.

No mobile information will be shared with third parties/affiliates for marketing/promotional purposes or for any other reason.

NorthPointe Dance Academy does not sell, share or trade our customers/users phone numbers.

If you have questions, please call us at (740) 548-4600

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Texting Policies for NorthPointe Dance Academy

You will give consent to NorthPointe Dance Academy to send occasional text messages regarding class changes, business closings, upcoming events, and account notifications.

No mobile information will be shared with third parties/affiliates for marketing/promotional purposes or for any other reason.

NorthPointe Dance Academy does not sell, share or trade our customers/users phone numbers.

If you have questions, please call us at (740) 548-4600

Enroll in Classes

Select Class

Add Another Student

Required Policies

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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*

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Registration

Referral Information

Account 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

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Student #2 (Show-Hide Details)

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Student #3 (Show-Hide Details)

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Student #4 (Show-Hide Details)

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Student #5 (Show-Hide Details)

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