Dance Etc. School of the Arts Online Registration

Registration

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Welcome to Dance Etc. School of the Arts and our new parent and registration portal. Please complete your registration and select submit when complete. Credit Cards will charged at this time. Please email us if you are a returning family and need your registration fee reduced or waived.

* 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*

Primary Phone*

Additional Info

Military Y/N

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

Contact #2

Contact #2 First Name

Last Name

Type

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*

Birth Date*

Additional Info

Disabilities - if none insert N/A*

Special Needs - if none insert N/A*

Allergies - if none insert N/A*

Medications (Leave blank if NONE)

Primary Doctor

Photo Release Y/N*

New or Returning Student*

To enroll in a class:

1. Complete family, contact, and student information above.

2. Navigate to enroll in class below, then choose "select class".

3. Use the magnifying glass to search for classes.

4. Select enroll

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities - if none insert N/A*

Special Needs - if none insert N/A*

Allergies - if none insert N/A*

Medications (Leave blank if NONE)

Primary Doctor

Photo Release Y/N*

New or Returning Student*

To enroll in a class:

1. Complete family, contact, and student information above.

2. Navigate to enroll in class below, then choose "select class".

3. Use the magnifying glass to search for classes.

4. Select enroll

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities - if none insert N/A*

Special Needs - if none insert N/A*

Allergies - if none insert N/A*

Medications (Leave blank if NONE)

Primary Doctor

Photo Release Y/N*

New or Returning Student*

To enroll in a class:

1. Complete family, contact, and student information above.

2. Navigate to enroll in class below, then choose "select class".

3. Use the magnifying glass to search for classes.

4. Select enroll

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities - if none insert N/A*

Special Needs - if none insert N/A*

Allergies - if none insert N/A*

Medications (Leave blank if NONE)

Primary Doctor

Photo Release Y/N*

New or Returning Student*

To enroll in a class:

1. Complete family, contact, and student information above.

2. Navigate to enroll in class below, then choose "select class".

3. Use the magnifying glass to search for classes.

4. Select enroll

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities - if none insert N/A*

Special Needs - if none insert N/A*

Allergies - if none insert N/A*

Medications (Leave blank if NONE)

Primary Doctor

Photo Release Y/N*

New or Returning Student*

To enroll in a class:

1. Complete family, contact, and student information above.

2. Navigate to enroll in class below, then choose "select class".

3. Use the magnifying glass to search for classes.

4. Select enroll

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

Membership Type*

Please fill out CREDIT CARD Payment Method

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*

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

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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)

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

eCheck/Bank Draft

Required Policies

(Show-Hide Details)