Registration


Welcome to Phoenix Gymnastics & Dance Academy. This is a registration form, however, completing this form will not automatically register any students for a class. This will provide you the opportunity to have a student try a class but does not obligate you in any way. Please provide your information in the form below and click SUBMIT when complete.

*   denotes required fields

Referral Information
Family Information
Where do you live?
Click to Enter an International Number
Additional Info
Contact #1
How Can We Contact You?
Click to Enter an International Number
Click to Enter an International Number
Click to Enter an International Number
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
Click to Enter an International Number
Click to Enter an International Number
Click to Enter an International Number
(Emails are kept confidential)
Student #1
(format=mm/dd/yyyy)
Additional Info
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns