Registration


Welcome to Jill's Studio of Dance! Please complete the following registration form. The registration fee is $33 for the first student and $28 for each additional student. Please indicate the day, time, and type of class in which you request that your child be enrolled in the comment section below. Your schedule will be emailed to you upon placement.

*   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)
Who is your employer?
Click to Enter an International Number
Student #1
(format=mm/dd/yyyy)
Click to Enter an International Number
Additional Info
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns