Studio East Dance Company Online Registration

Registration

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Welcome to Studio East Dance Company! We are thrilled that you have made the decision to register for our dance family. We have made enrolling easy and convenient. Please complete the following registration form. We look forward to meeting you soon! Best, Ramona and Vikkie

* 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*

Additional Info

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

Emailed Studio

Facebook Messaged-Studio

Facebook Message-Private

Emailed Personal Acct

Contact #1

Contact #1 First Name*

Last Name *

Type*

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

Student #1

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

T-Shirt Size*

School

Grade Level

Allergies*

Tight Size*

Please click on the Search button below, then choose the class. Please note the registration fee is $20 for Summer and $30 for Fall registration. (subject to change)

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*

School

Grade Level

Allergies*

Tight Size*

Please click on the Search button below, then choose the class. Please note the registration fee is $20 for Summer and $30 for Fall registration. (subject to change)

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*

School

Grade Level

Allergies*

Tight Size*

Please click on the Search button below, then choose the class. Please note the registration fee is $20 for Summer and $30 for Fall registration. (subject to change)

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*

School

Grade Level

Allergies*

Tight Size*

Please click on the Search button below, then choose the class. Please note the registration fee is $20 for Summer and $30 for Fall registration. (subject to change)

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*

School

Grade Level

Allergies*

Tight Size*

Please click on the Search button below, then choose the class. Please note the registration fee is $20 for Summer and $30 for Fall registration. (subject to change)

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

City

State

Zip

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Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

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

Credit Card

Required Policies

(Show-Hide Details)