Rise 21 Dance Company Online Registration

Registration

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Please complete the following registration form to join our dance family!

* denotes required fields

Referral Information

How did you hear about us?*

Family Information

Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)*

PMSD or EDA existing student

I am a new student Y/N

Contact #1

Contact #1 First Name*

Last Name *

How Can We Contact You?

Work # *

Cell # *

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*

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

Cell #

Additional Info

Student Email

School*

Grade Level*

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

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

Cell #

Additional Info

Student Email

School*

Grade Level*

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

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

Enroll in Classes

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Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

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

Cell #

Additional Info

Student Email

School*

Grade Level*

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

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

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

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

Cell #

Additional Info

Student Email

School*

Grade Level*

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

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

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

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

Cell #

Additional Info

Student Email

School*

Grade Level*

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

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Required Policies and Agreements

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Dress Code

DRESS CODE - ALL STUDENTS ARE REQUIRED TO ADHERE TO THE FOLLOWING DRESS CODE:
Please label ALL shoes and clothing. Remember - no jewellery or gum.
Recreational Acrobatics: Body suit or unitard (any colour), footless tights optional, hair must be tied back, barefeet.
Recreational Ballet: Bodysuit, Ballet pink tights, hair in a bun secured with hair pins and a hairnet, short hair off face with headband, pins or elastic. Pink Ballet shoes for dancers ages 2-up.
Exam Ballet: Brand name is "Energetiks" style is "Annabelle". Cost for exam body suit is approximately $49.00 to $55.00., Ballet pink tights, hair in a bun secured with hairpins and a hairnet, short hair off face with headband, pins or elastic. Primary, Standard 1, Grade 1 pink - full sole leather shoes. Grade2/Standard 2 ballet exam levels - pink split sole leather shoes. Grade 3/Standard 3 and higher levels - split sole canvas ballet shoes. You must have shoes that are clean and in good shape for mock exams and exam day.
Recreational Jazz: Body suit, black jazz pants/shorts/leggings or tights optional, hair tied back, black slip on jazz shoes.
Recreational Lyrical: Body suit, jazz pants/shorts/leggings, tights optional, hair tied back. Beige slip on jazz shoes or dance Paws/foot undies may be required for recital.
Competition Jazz/Lyrical/Stage/Contemporary students: Body suit/tank top, jazz pants/leggings/shorts, tights optional, hair tied back, slip on black jazz shoes or Dance Paws/foot undies (senior dancers and above only). By October, the shoes required for each competition class will be posted on the website. Jazz shoes can be used until the competition costume requirements are finalized.
Recreational & Competition Hip Hop: Must wear indoor running shoes used for dance only. No jeans. Sweat pants and loose fitting clothing are acceptable. Hair tied back.
Recreational Stage: Bodysuit/tank top or unitard, jazz pants/leggings/shorts(any colour) hair must be tied back, black slip on jazz shoes.
Recreational Tap: Bodysuit/tank top or unitard, jazz pants/leggings//shorts (any colour), or tights, hair must be tied back, beige tap shoes 4+ years
Exam Tap classes: Jazz pants/leggings/shorts or tights, black leather tap shoes with laces. Recreational Contemporary: -Bodysuit, jazz pants/leggings/ shorts, hair tied back.
Competition Tap classes: Bodysuit Jazz pants/leggings/shorts or tights, 11+years black lace up leather shoes. 10-under Cuban heel or beige strapped