RAD Dance Studio Online Registration

Registration

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We're thrilled to welcome you to RAD Dance Studio's 33rd Anniversary Season! If you haven't registered with us since the summer of 2020, we kindly request you to complete the attached form. For those who already have a RAD Account, simply login to your Parent Portal to get started. We can't wait to have you join us for another incredible year of dancing and celebrations!

* denotes required fields

Referral Information

How did you hear about us?*

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Additional Info

Emergency Contact: Name & Phone Number*

Health Insurance Carrier and Policy Number*

Contact #1

Contact #1 First Name*

Last Name *

Relationship*

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*

Relationship*

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 Gender*

Birth Date*

Cell #

Additional Info

Student Email

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

We're happy to assist you! Contact info@raddancestudio.com with any questions/concerns regarding your child(ren)'s class placement.

Please note: Registration fee(s) and first month's tuition will be processed by RAD within 24hrs of enrollment.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

We're happy to assist you! Contact info@raddancestudio.com with any questions/concerns regarding your child(ren)'s class placement.

Please note: Registration fee(s) and first month's tuition will be processed by RAD within 24hrs of enrollment.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

We're happy to assist you! Contact info@raddancestudio.com with any questions/concerns regarding your child(ren)'s class placement.

Please note: Registration fee(s) and first month's tuition will be processed by RAD within 24hrs of enrollment.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

We're happy to assist you! Contact info@raddancestudio.com with any questions/concerns regarding your child(ren)'s class placement.

Please note: Registration fee(s) and first month's tuition will be processed by RAD within 24hrs of enrollment.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

We're happy to assist you! Contact info@raddancestudio.com with any questions/concerns regarding your child(ren)'s class placement.

Please note: Registration fee(s) and first month's tuition will be processed by RAD within 24hrs of enrollment.

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*

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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

Credit Card

Required Policies

(Show-Hide Details)