Welcome to Free Form Dance Academy! We are excited to create with you! Please complete the following registration form for the 2020-2021 Season Please note: Payment information is NOT required to register. If you would like to input your payment information at this time to use later, please do so at the bottom of this form. FFDA will NOT process a payment at this time or process your card without your consent.

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Referral Information
Family Information
Where do you live?
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Student #1
Additional Info
Required Policies and Agreements
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I Agree to All of the Above
Questions or Concerns
Payment Information
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)