Registration


The Movement Box Dance Studio 2018-2019 Registration Form

*   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)
Student #1
(format=mm/dd/yyyy)
Additional Info

You are NOT guaranteed a spot in any class until payment of the registration fee is made. Returning Families = $10, NEW Families = $15. Registration Fee WILL automatically be charged if a credit card is provided at time of enrollment.

Enroll in Classes
Select Class *
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns
Payment Information
Account Information
Credit Card