The Dance Academy of Virginia Online Registration

Registration

Already a customer? Click here to login.

Welcome to THE DANCE ACADEMY OF VIRGINIA! Currently enrolled Families: You have a customer account. Login into the portal with your email & click "forgot password" if you didn't set a password yet. All new students complete form to register for classes. If you are interested in a NEW STUDENT PLACEMENT CLASS for $19 please select on form & add note in comments with student's dance background & interests. We'll contact you shortly!

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Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Contact #1

Parent First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell # *

Receive Text Message Notifications. By opting in, you agree to receive SMS messages from The Dance Academy of Virginia. Standard message and data rates apply. Reply STOP to opt out

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Additional Parent/Guardian First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from The Dance Academy of Virginia. Standard message and data rates apply. Reply STOP to opt out

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from The Dance Academy of Virginia. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

School*

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Try 1st Class for $19 (Y/N)

Chosen Name

Pronouns

Texting Policies for Dance Academy of Virginia

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, which can be found HERE.

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

If you have questions, please call us at+1 (703) 891-4292.

For help, reply HELP. Reply STOP to unsubscribe.

Standard messages and data rates may apply.

Please consider adding Dance Academy of Virginia as a contact, so that our messages will not go to spam.as a contact, so that our messages will not go to spam.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from The Dance Academy of Virginia. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

School*

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Try 1st Class for $19 (Y/N)

Chosen Name

Pronouns

Texting Policies for Dance Academy of Virginia

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

If you have questions, please call us at+1 (703) 891-4292.

For help, reply HELP. Reply STOP to unsubscribe.

Standard messages and data rates may apply.

Please consider adding Dance Academy of Virginia as a contact, so that our messages will not go to spam.as a contact, so that our messages will not go to spam.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from The Dance Academy of Virginia. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

School*

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Try 1st Class for $19 (Y/N)

Chosen Name

Pronouns

Texting Policies for Dance Academy of Virginia

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

If you have questions, please call us at+1 (703) 891-4292.

For help, reply HELP. Reply STOP to unsubscribe.

Standard messages and data rates may apply.

Please consider adding Dance Academy of Virginia as a contact, so that our messages will not go to spam.as a contact, so that our messages will not go to spam.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from The Dance Academy of Virginia. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

School*

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Try 1st Class for $19 (Y/N)

Chosen Name

Pronouns

Texting Policies for Dance Academy of Virginia

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

If you have questions, please call us at+1 (703) 891-4292.

For help, reply HELP. Reply STOP to unsubscribe.

Standard messages and data rates may apply.

Please consider adding Dance Academy of Virginia as a contact, so that our messages will not go to spam.as a contact, so that our messages will not go to spam.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from The Dance Academy of Virginia. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

School*

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Try 1st Class for $19 (Y/N)

Chosen Name

Pronouns

Texting Policies for Dance Academy of Virginia

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

If you have questions, please call us at+1 (703) 891-4292.

For help, reply HELP. Reply STOP to unsubscribe.

Standard messages and data rates may apply.

Please consider adding Dance Academy of Virginia as a contact, so that our messages will not go to spam.as a contact, so that our messages will not go to spam.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

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

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

Additional Info

Texting Policies for Dance Academy of Virginia

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Texting Policies for Dance Academy of Virginia

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Texting Policies for Dance Academy of Virginia

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Texting Policies for Dance Academy of Virginia

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Texting Policies for Dance Academy of Virginia

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

Required Policies

(Show-Hide Details)