South Georgia Dance Company Online Registration

Registration

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Welcome to South Georgia Dance Company 2025-2026! We have moved to an online platform for communication and payment updates! Please complete the following registration form. Also, if you plan on having your tuition automatically drafted for you each month PLEASE provide a card or bank account. IF YOU DO NOT provide this and your tuition is not paid by the 5th of every month a $10 late fee will be charged for each day it is not paid.

* denotes required fields

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

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*

Please click on the Search button below, then choose the class.
Welcome to South Georgia Dance Company 2025-2026! We have moved to an online platform for communication and payment updates! Please complete the following registration form. Also, if you plan on having your tuition automatically drafted for you each month PLEASE provide a card or bank account. IF YOU DO NOT provide this and your tuition is not paid by the 5th of every month a $10 late fee will be charged for each day it is not paid.

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Enroll in Classes

Select Class

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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

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

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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

Enroll in Classes

Student #2 (Show-Hide Details)

Enroll in Classes

Student #3 (Show-Hide Details)

Enroll in Classes

Student #4 (Show-Hide Details)

Enroll in Classes

Student #5 (Show-Hide Details)

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

eCheck/Bank Draft

Required Policies

(Show-Hide Details)