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 placement assessment and instructor approval.

*   denotes required fields

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