Dy.Clan Dance Studios Online Registration

Registration

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Welcome to Dy.Clan Dance Studios! We’re so excited to have your dancer join us! Please complete the following registration form.

* 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*

Additional Info

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

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Click “Select class” below to view available Classes and Summer Camp options.

Important: A card on file is required to reserve your spot and prevent overbooking.

You will only be charged based on your selected classes and schedule.

A 2.89% processing fee applies to credit card payments (Visa, Mastercard, Discover).
Debit cards are not subject to this fee.

Once selected, continue registration to reserve your spot!!!

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Click “Select class” below to view available Classes and Summer Camp options.

Important: A card on file is required to reserve your spot and prevent overbooking.

You will only be charged based on your selected classes and schedule.

A 2.89% processing fee applies to credit card payments (Visa, Mastercard, Discover).
Debit cards are not subject to this fee.

Once selected, continue registration to reserve your spot!!!

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Click “Select class” below to view available Classes and Summer Camp options.

Important: A card on file is required to reserve your spot and prevent overbooking.

You will only be charged based on your selected classes and schedule.

A 2.89% processing fee applies to credit card payments (Visa, Mastercard, Discover).
Debit cards are not subject to this fee.

Once selected, continue registration to reserve your spot!!!

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Click “Select class” below to view available Classes and Summer Camp options.

Important: A card on file is required to reserve your spot and prevent overbooking.

You will only be charged based on your selected classes and schedule.

A 2.89% processing fee applies to credit card payments (Visa, Mastercard, Discover).
Debit cards are not subject to this fee.

Once selected, continue registration to reserve your spot!!!

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Click “Select class” below to view available Classes and Summer Camp options.

Important: A card on file is required to reserve your spot and prevent overbooking.

You will only be charged based on your selected classes and schedule.

A 2.89% processing fee applies to credit card payments (Visa, Mastercard, Discover).
Debit cards are not subject to this fee.

Once selected, continue registration to reserve your spot!!!

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

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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)

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

Required Policies

(Show-Hide Details)