Registration


Welcome to San Benito Dance Academy! Please complete the following registration form and note your interest in classes. We will enroll the dancer in classes, pending instructor approval.

*   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)
Click to Enter an International Number
Additional Info
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns