Niko's Dance Team Online Registration

Registration

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Welcome to Niko’s Dance Team! Please complete the following registration form.

* denotes required fields

Family Information

Last Name*

Where do you live?

Home Address*

City*

Province*

Postal Code*

Primary Phone*

Additional Info

Emergency Contact Info *

Preferred Studio-Tofield/Ryley*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

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*

Student Gender

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Photo Release Y/N*

Dance Level eg: JR, INTER. SR*

Please click on the Search button below, then choose the class.

** Ballet Tech is a mandatory class for any dancer age 9 and above (2016 born) joining a jazz, tap, Ukrainian or lyrical class.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Photo Release Y/N*

Dance Level eg: JR, INTER. SR*

Please click on the Search button below, then choose the class.

** Ballet Tech is a mandatory class for any dancer age 9 and above (2016 born) joining a jazz, tap, Ukrainian or lyrical class.

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Photo Release Y/N*

Dance Level eg: JR, INTER. SR*

Please click on the Search button below, then choose the class.

** Ballet Tech is a mandatory class for any dancer age 9 and above (2016 born) joining a jazz, tap, Ukrainian or lyrical class.

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Photo Release Y/N*

Dance Level eg: JR, INTER. SR*

Please click on the Search button below, then choose the class.

** Ballet Tech is a mandatory class for any dancer age 9 and above (2016 born) joining a jazz, tap, Ukrainian or lyrical class.

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Photo Release Y/N*

Dance Level eg: JR, INTER. SR*

Please click on the Search button below, then choose the class.

** Ballet Tech is a mandatory class for any dancer age 9 and above (2016 born) joining a jazz, tap, Ukrainian or lyrical class.

Enroll in Classes

Select Class *

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

Account Information

Payment Schedule*

Method of Payment*

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

Country

City

Province

Postal Code

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Registration

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

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

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Questions or Concerns

Payment Information

Account Information

Credit Card

Required Policies

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