The Rock School for Dance Education Online Registration

Registration

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Welcome to The Rock School for Dance! Please complete the following registration form to create your student account.

If your family was enrolled prior to fall of 2024, you will need to complete this form to create an account in our new system.

Note that scholarship students must enroll first, after which our Registrar will apply the discount to your account. Your card on file will not be charged until scholarship awards are applied.

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Where do you live?

Home Address*

City*

State (leave blank if international)

Zip (use 00000 if international)*

Primary Phone*

Additional Info

Emergency Contact Name & Phone (Not Contact #1 or #2)*

Language(s) Spoken at Home

Contact #1

Parent/Guardian #1 First Name*

Last Name *

Relationship to Dancer*

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

Parent/Guardian #2 First Name

Last Name

Relationship to Dancer

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Pronouns*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

Academic School (or online/homeschool program). Type NA if high school graduate.*

Academic Grade Level (Type NA if high school graduate)*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Language(s)

Nickname

Race/Ethnicity*

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

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Pronouns*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

Academic School (or online/homeschool program). Type NA if high school graduate.*

Academic Grade Level (Type NA if high school graduate)*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Language(s)

Nickname

Race/Ethnicity*

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

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Pronouns*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

Academic School (or online/homeschool program). Type NA if high school graduate.*

Academic Grade Level (Type NA if high school graduate)*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Language(s)

Nickname

Race/Ethnicity*

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

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Pronouns*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

Academic School (or online/homeschool program). Type NA if high school graduate.*

Academic Grade Level (Type NA if high school graduate)*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Language(s)

Nickname

Race/Ethnicity*

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

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Pronouns*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

Academic School (or online/homeschool program). Type NA if high school graduate.*

Academic Grade Level (Type NA if high school graduate)*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Language(s)

Nickname

Race/Ethnicity*

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

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

Auto-Pay*

Please fill out CREDIT CARD Payment Method

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Registration

Referral Information

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)

I Agree to All of the Above

Questions or Concerns

Payment Information

Account Information

Required Policies

(Show-Hide Details)