Phoenix Rising Dance Studios Online Registration

Registration

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With all the excitement about getting back into the studio for fall classes, our server has experienced some stress at times. If you have any trouble registering, please call (317) 646-7760 and our Studio Manager will register your dancer(s) for you.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

How Can We Contact You?

Home Phone

Work #

Cell # Receive Text Message Notifications

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Please click on the Search button below, then choose the class. You will be charged one $35 registration fee. If you are registering in the midst of a month, the tuition will be prorated to the first day of class. Students over the age of 18 do not need to register for classes.

Please make sure you're paying careful attention to make sure you're registering your dancer in a class that's appropriate for their age.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Please make sure you're paying careful attention to make sure you're registering your dancer in a class that's appropriate for their age.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Please make sure you're paying careful attention to make sure you're registering your dancer in a class that's appropriate for their age.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Please make sure you're paying careful attention to make sure you're registering your dancer in a class that's appropriate for their age.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Please make sure you're paying careful attention to make sure you're registering your dancer in a class that's appropriate for their age.

Enroll in Classes

Select Class

Add Another Student