Registration


Welcome to Middleburg Academy of Dance! Please complete the following registration form. TRY A FREE TRIAL CLASS: Please indicate below in the COMMENTS section at the end of this registration form. CLASS REGISTRATION: Fill out all required information and choose your class or classes. Please note the system automatically charges but nothing is due until you make your final decision and we have confirmed your submissions with you! All payments must currently be made in person at the studio.

*   denotes required fields

Referral Information
Family Information
Where do you live?
Click to Enter an International Number
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)

Please click on the Search button below, then choose the class.

Enroll in Classes
Select Class
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns