Asbury Arts - North Florida Dance Center Online Registration

Registration

Already a customer? Click here to login.

Please create your family account and choose your class(es)
Registration and tuition will be processed after enrollment has been reviewed.
Please allow 24-48 ours for our office to review your enrollment and call 904-406-4161 with any questions. Thank you!

* 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*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Cell # * Receive Text Message Notifications

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 # Receive Text Message Notifications

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Name of academic school (if you attend one)

Allergies or other med/special needs (leave blank if none)

Search through our class listing here. You can use the search icon to filter by by session, days, etc.
Call us at 904-406-4161 if you need help choosing your classes.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Name of academic school (if you attend one)

Allergies or other med/special needs (leave blank if none)

Search through our class listing here. You can use the search icon to filter by by session, days, etc.
Call us at 904-406-4161 if you need help choosing your classes.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Name of academic school (if you attend one)

Allergies or other med/special needs (leave blank if none)

Search through our class listing here. You can use the search icon to filter by by session, days, etc.
Call us at 904-406-4161 if you need help choosing your classes.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Name of academic school (if you attend one)

Allergies or other med/special needs (leave blank if none)

Search through our class listing here. You can use the search icon to filter by by session, days, etc.
Call us at 904-406-4161 if you need help choosing your classes.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Name of academic school (if you attend one)

Allergies or other med/special needs (leave blank if none)

Search through our class listing here. You can use the search icon to filter by by session, days, etc.
Call us at 904-406-4161 if you need help choosing your classes.

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*

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

Credit Card

Required Policies

(Show-Hide Details)