Registration


Welcome to the DanceLife Center's Online Registration! Please provide your information below and click Submit when complete. Credit Cards are not charged at this time. All enrollments are considered pending until we have reviewed your registration and posted any fee due.

*   denotes required fields

Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Who is your employer?
Contact #2
How can we contact you?
(Emails are kept confidential)
Who is your employer?
Student #1
(format=mm/dd/yyyy)
Additional Info

Please select location and choose the program that you are interested in: DanceLife, Health & Wellness and Dragonflies. (*System will filter and omit classes that you are not eligible for*)

Enroll in Classes
Select Class *
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns
Payment Information
Account Information
Please fill out ONE of the following Payment Methods
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)