MDP Online Registration

Registration

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Welcome to MDP Collective! Fall registration is NOW OPEN for returning students! Fall Registration will begin for all new student on June 5th. Please check the LINK for classes ( https://docs.google.com/document/d/1FQsFYs1mbY1Kbk60lzBC4YfVb-IOTTjuXL7KuTSaXl8/edit?usp=sharing ) and the website for schedule, descriptions and the MDP handbook to better inform you! www.mdpcollective.com

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Referral Information

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Family Information

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Home Address*

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State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)*

Contact #1

Contact #1 First Name*

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Type*

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Cell # *

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Contact #2

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Last Name

Type

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Work #

Cell #

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Employer

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Student #1

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

School*

Grade Level*

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Prior dance experience:*

Where and how many years:

Please click on "SELECT CLASS" below, then choose from your options.

*If the class for your child's pre assigned level is not listed because your child is out of the age range, please note in the comments, and you will be transferred to the proper class manually.

*Please waitlist for a class that is full. Some additional classes may be added.

Enroll in Classes

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

School*

Grade Level*

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Prior dance experience:*

Where and how many years:

Please click on "SELECT CLASS" below, then choose from your options.

*If the class for your child's pre assigned level is not listed because your child is out of the age range, please note in the comments, and you will be transferred to the proper class manually.

*Please waitlist for a class that is full. Some additional classes may be added.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

School*

Grade Level*

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Prior dance experience:*

Where and how many years:

Please click on "SELECT CLASS" below, then choose from your options.

*If the class for your child's pre assigned level is not listed because your child is out of the age range, please note in the comments, and you will be transferred to the proper class manually.

*Please waitlist for a class that is full. Some additional classes may be added.

Enroll in Classes

Select Class

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Student's First Name*

Last Name*

Student Gender*

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

Additional Info

School*

Grade Level*

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Prior dance experience:*

Where and how many years:

Please click on "SELECT CLASS" below, then choose from your options.

*If the class for your child's pre assigned level is not listed because your child is out of the age range, please note in the comments, and you will be transferred to the proper class manually.

*Please waitlist for a class that is full. Some additional classes may be added.

Enroll in Classes

Select Class

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Student's First Name*

Last Name*

Student Gender*

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

Additional Info

School*

Grade Level*

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Prior dance experience:*

Where and how many years:

Please click on "SELECT CLASS" below, then choose from your options.

*If the class for your child's pre assigned level is not listed because your child is out of the age range, please note in the comments, and you will be transferred to the proper class manually.

*Please waitlist for a class that is full. Some additional classes may be added.

Enroll in Classes

Select Class

Add Another Student

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Contact #1

How Can We Contact You?

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Contact #2

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Who is your employer?

Student #1

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