2026 -27 bellAdance Customer Registration Form

2026-27 Dance Registration Form

Please fill in the form below.
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
New or Returning Student/Family
Primary E-mail (Note: Email is our PRIMARY form of communication!)
Email is our #1 form of communication, please let us know if you change yours throughout the year!
Update Contact/billing information (Address/Phone No/Emergency Contacts)?
Contact and billing information:
Parent #1 Name

First NameLast Name
Parent #1 Number
Format: (000) 000-0000.
Parent #2 Name

First NameLast Name
Parent #2 Number
Format: (000) 000-0000.
Secondary E-mail
Email is our #1 form of communication, please include if you'd like a second email address to receive notices.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Format: (000) 000-0000.
Number of Students Registering
Students Full Name

First NameLast Name
Students' Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Current Academic School (as of fall 2026)
Allergies or Medical Conditions we should be aware of
Years of Dance Training
Where have you trained?
How did you hear about bellA dance?
Please review the 2026-2027 Class Schedule and indicate below the class(es) you would like to register your student for. bellA dance teachers will review this form and your request and contact you regarding correct class placement prior to verifying your placement.
Additional notes/requests regarding class selection
Total hours of class per week (hours/monthly tuition) Note: This is the price for 1 dancers-there is a discount for multiple family members
Student 1 Class Selection (Please select all classes you would like to register this student for. You can select multiple classes by holding down CONTROL while clicking the class. You will specify classes for other student below)
Total hours for student #1
Additional Students Full Name

First NameLast Name
Additional Students' Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Additional Students' Current Academic School
Allergies or Medical Conditions we should be aware of
Years of Dance Training
Where have you trained?
Additional notes regarding class selection
Student 2 Class Selection (Please select all classes you would like to register this student for. You can select multiple classes by holding down CONTROL while clicking the class)
Total Number of weekly class hours for Additional Student
Additional Students Full Name

First NameLast Name
Additional Students' Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Additional Students' Current Academic School
Allergies or Medical Conditions we should be aware of
Years of Dance Training
Where have you trained?
Student 3 Class Selection (Please select all classes you would like to register for. You can select multiple classes by holding down CONTROL while clicking the class)
Additional notes regarding class selection
Total Number of weekly class hours for Additional Student
Total number of combined class hours for all students
Tuition Information/Policy Acknowledgement
Withdrawal Policy/Acknowledgement
Performance Agreement
Class Etiquette/Dress Code Agreement
To download a full version of the bellA dance policy agreement, click below.

Registration Fee

Single Student Registration Fee (Required)$30.00

Additional Student$20.00

Additional Student 2$20.00

Additional Student 3$20.00

Total $0.00

Credit Card

Signature
Should be Empty:

3 to 5 year old Ballet & Tap Tuesdays 5:00 pm - 6:00 pm
3 to 5 year old Ballet & Tap Wednesdays 4:15 pm - 5:15 pm
3 to 5 year old Ballet & Tap Saturdays 11:00 am - 12:00 pm
4 to 5 year old Ballet & Tap Mondays 4:15 pm - 5:15 pm
4 to 5 year old Ballet & Tap Thursdays 4:30 pm - 5:30 pm
4 to 6 year old Intro to Acro Thursdays 5:30 pm-6:00 pm (30 min)
4 to 5 year old Ballet & Tap Fridays 4:30 - 5:30 pm
6 to 8 year old Ballet/Jazz/Tap Mondays 4:30 pm - 6:00 pm (1.5 hr)
6 to 8 year old Hip Hop Tuesdays 5:00 pm - 6:00 pm (1 hr)
6 to 8 year old Acro Wednesdsays 4:30 pm - 5:15 pm (45 min)
6 to 8 year old Ballet/Tap/Jazz Thursdays 4:00 pm - 5:30 pm (1.5 hr)
6 to 8 year old Ballet/Tap/Jazz Fridays 4:30 pm - 6:00 pm (1.5 hr)
6 to 8 year old Acro Saturdays 9:45 am - 10:30 am (45 min)
6 to 8 year old Ballet/Tap/Jazz Saturdays 10:30 am -12:00 pm (1.5 hr)
5 to 10 year old BOYS class Hip Hop/Jazz Wednesdays 4:45 pm - 5:45 pm (1 hr)
9 to 12 year old Jazz Mondays 6:15 pm - 7:00 pm (45 min)
9 to 12 year old Tap Mondays 7:00 pm - 7:45 pm (45 min)
9 to 12 year old Ballet Mondays 7:45 - 8:30 (45 min)
9 to 12 year old Acro Wednesdays 5:15 pm - 6:00 pm (45 min)
9 to 12 year old Hip Hop Wednesdays 6:45-`7:30 pm (45 min)
9 to 12 year old Modern Wednesdays 7:30 pm - 8:15pm (45 min)
12 years and up Musical Theatre Wednesday 5:45 - 6:45 pm (1 hour)
12 years and up Modern Wednesday 6:45 - 7:30 pm (45 min)
12 years and up Hip Hop Wednesday 7:30 - 8:15 pm (45 min)
12 years and up Ballet Fridays 5:30 - 6:15 pm (45 min)
12 years and up Tap Fridays 6:15- 7:00 pm (45 min)
Pre-Company I
Pre- Company I + Acro
Pre-Company II
Pre Company II + Acro

3 to 5 year old Ballet & Tap Tuesdays 5:00 pm - 6:00 pm
3 to 5 year old Ballet & Tap Wednesdays 4:15 pm - 5:15 pm
3 to 5 year old Ballet & Tap Saturdays 11:00 am - 12:00 pm
4 to 5 year old Ballet & Tap Mondays 4:15 pm - 5:15 pm
4 to 5 year old Ballet & Tap Thursdays 4:30 pm - 5:30 pm
4 to 6 year old Intro to Acro Thursdays 5:30 pm-6:00 pm (30 min)
4 to 5 year old Ballet & Tap Fridays 4:30 - 5:30 pm
6 to 8 year old Ballet/Jazz/Tap Mondays 4:30 pm - 6:00 pm (1.5 hr)
6 to 8 year old Hip Hop Tuesdays 5:00 pm - 6:00 pm (1 hr)
6 to 8 year old Acro Wednesdays 4:30 pm - 5:15 pm (45 min)
6 to 8 year old Ballet/Tap/Jazz Thursdays 4:00 pm - 5:30 pm (1.5 hr)
6 to 8 year old Ballet/Tap/Jazz Fridays 4:30 pm - 6:00 pm (1.5 hr)
6 to 8 year old Acro Saturdays 9:45 am - 10:30 am (45 min)
6 to 8 year old Ballet/Tap/Jazz Saturdays 10:30 am -12:00 pm (1.5 hr)
5 to 10 year old BOYS class Hip Hop/Jazz Wednesdays 4:45 pm - 5:45 pm (1 hr)
9 to 12 year old Jazz Mondays 6:15 pm - 7:00 pm (45 min)
9 to 12 year old Tap Mondays 7:00 pm - 7:45 pm (45 min)
9 to 12 year old Ballet Mondays 7:45 - 8:30 (45 min)
9 to 12 year old Acro Wednesdays 5:15 pm - 6:00 pm (45 min)
9 to 12 year old Hip Hop Wednesdays 6:45-`7:30 pm (45 min)
9 to 12 year old Modern Wednesdays 7:30 pm - 8:15pm (45 min)
12 years and up Musical Theatre Wednesday 5:45 - 6:45 pm (1 hour)
12 years and up Modern Wednesday 6:45 - 7:30 pm (45 min)
12 years and up Hip Hop Wednesday 7:30 - 8:15 pm (45 min)
12 years and up Ballet Fridays 5:30 - 6:15 pm (45 min)
12 years and up Tap Fridays 6:15- 7:00 pm (45 min)
Pre-Company I
Pre- Company I + Acro
Pre-Company II
Pre Company II + Acro

3 to 5 year old Ballet & Tap Tuesdays 5:00 pm - 6:00 pm
3 to 5 year old Ballet & Tap Wednesdays 4:15 pm - 5:15 pm
3 to 5 year old Ballet & Tap Saturdays 11:00 am - 12:00 pm
4 to 5 year old Ballet & Tap Mondays 4:15 pm - 5:15 pm
4 to 5 year old Ballet & Tap Thursdays 4:30 pm - 5:30 pm
4 to 6 year old Intro to Acro Thursdays 5:30 pm-6:00 pm (30 min)
4 to 5 year old Ballet & Tap Fridays 4:30 - 5:30 pm
6 to 8 year old Ballet/Jazz/Tap Mondays 4:30 pm - 6:00 pm (1.5 hr)
6 to 8 year old Hip Hop Tuesdays 5:00 pm - 6:00 pm (1 hr)
6 to 8 year old Acro Wednesdays 4:30 pm - 5:15 pm (45 min)
6 to 8 year old Ballet/Tap/Jazz Thursdays 4:00 pm - 5:30 pm (1.5 hr)
6 to 8 year old Ballet/Tap/Jazz Fridays 4:30 pm - 6:00 pm (1.5 hr)
6 to 8 year old Acro Saturdays 9:45 am - 10:30 am (45 min)
6 to 8 year old Ballet/Tap/Jazz Saturdays 10:30 am -12:00 pm (1.5 hr)
5 to 10 year old BOYS class Hip Hop/Jazz Wednesdays 4:45 pm - 5:45 pm (1 hr)
9 to 12 year old Jazz Mondays 6:15 pm - 7:00 pm (45 min)
9 to 12 year old Tap Mondays 7:00 pm - 7:45 pm (45 min)
9 to 12 year old Ballet Mondays 7:45 - 8:30 (45 min)
9 to 12 year old Acro Wednesdays 5:15 pm - 6:00 pm (45 min)
9 to 12 year old Hip Hop Wednesdays 6:45-`7:30 pm (45 min)
9 to 12 year old Modern Wednesdays 7:30 pm - 8:15pm (45 min)
12 years and up Musical Theatre Wednesday 5:45 - 6:45 pm (1 hour)
12 years and up Modern Wednesday 6:45 - 7:30 pm (45 min)
12 years and up Hip Hop Wednesday 7:30 - 8:15 pm (45 min)
12 years and up Ballet Fridays 5:30 - 6:15 pm (45 min)
12 years and up Tap Fridays 6:15- 7:00 pm (45 min)
Pre-Company I
Pre- Company I + Acro
Pre-Company II
Pre Company II + Acro

2026-27 Dance Registration Form

Contact and billing information:

Registration Fee

Credit Card