Dancers' Workshop Online Registration

Registration

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Welcome to the School at Dancers' Workshop! | ¡Bienvenido(a) a La Escuela en Dancers' Workshop!

Please complete the following registration form. | Por favor, complete el siguiente formulario de inscripción.

***NOTE: If you have a PO Box, please enter it under ADDITIONAL INFO AND use the following format: PO Box XXXX***

* denotes required fields

Family Information | Datos Familiares

Apellido(s) Familiar(es) | Family Last Name*

Where do you live?

Home Address*

City*

State | Estado *

Zip | Código Postal*

Primary Phone*

Additional Info

Mailing Address PO Box*

Mailing Address City*

Mailing Address State*

Mailing Address Zip*

Contact #1

Nombre | First Name*

Last Name *

Relation to Student(s) | Parentesco con el(la) estudiante*

How Can We Contact You?

Home Phone

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Nombre First Name*

Last Name*

Relation to Student(s) | Parentesco con el(la) estudiante*

How can we contact you?

Home Phone

Work #

Cell # *

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender | Sexo*

Birth Date*

Additional Info

Student Email | Correo electrónico del(la) estudiante

T-Shirt Size

School | Escuela

Grade Level | Grado escolar

Special Needs (Leave blank if NONE) | Necesidades especiales (SI NO HAY, deje en blanco)

Allergies (Leave blank if NONE) | Alergias (SI NO HAY, deje en blanco)

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

A continuación, haga clic en el botón titulado “Select Class” y posteriormente, elija la clase.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender | Sexo*

Birth Date*

Additional Info

Student Email | Correo electrónico del(la) estudiante

T-Shirt Size

School | Escuela

Grade Level | Grado escolar

Special Needs (Leave blank if NONE) | Necesidades especiales (SI NO HAY, deje en blanco)

Allergies (Leave blank if NONE) | Alergias (SI NO HAY, deje en blanco)

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

A continuación, haga clic en el botón titulado “Select Class” y posteriormente, elija la clase.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender | Sexo*

Birth Date*

Additional Info

Student Email | Correo electrónico del(la) estudiante

T-Shirt Size

School | Escuela

Grade Level | Grado escolar

Special Needs (Leave blank if NONE) | Necesidades especiales (SI NO HAY, deje en blanco)

Allergies (Leave blank if NONE) | Alergias (SI NO HAY, deje en blanco)

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

A continuación, haga clic en el botón titulado “Select Class” y posteriormente, elija la clase.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender | Sexo*

Birth Date*

Additional Info

Student Email | Correo electrónico del(la) estudiante

T-Shirt Size

School | Escuela

Grade Level | Grado escolar

Special Needs (Leave blank if NONE) | Necesidades especiales (SI NO HAY, deje en blanco)

Allergies (Leave blank if NONE) | Alergias (SI NO HAY, deje en blanco)

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

A continuación, haga clic en el botón titulado “Select Class” y posteriormente, elija la clase.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender | Sexo*

Birth Date*

Additional Info

Student Email | Correo electrónico del(la) estudiante

T-Shirt Size

School | Escuela

Grade Level | Grado escolar

Special Needs (Leave blank if NONE) | Necesidades especiales (SI NO HAY, deje en blanco)

Allergies (Leave blank if NONE) | Alergias (SI NO HAY, deje en blanco)

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

A continuación, haga clic en el botón titulado “Select Class” y posteriormente, elija la clase.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

e-Payment Schedule | Calendario de pagos electrónicos *

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

City

State | Estado

Zip | Código Postal*

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Registration

Family Information | Datos Familiares

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Account Information

Credit Card

Required Policies

(Show-Hide Details)