XDC Enrollment Form

CLICK HERE FOR CLASS DESCRIPTION AND SCHEDULE

For more information log onto www.thexperiencedc.com
This form is for class and performance- related payments only! To purchase merch or required dance attire, please click HERE
Parent's Name
Type N/A if older than 18
Email Address
Address (City, State and Zip)
Phone Number
Cell Phone
Are you enrolling, paying for Master Classes or paying performance related fees?
How did you find out about our program?
If you answered Student/ Parent Referral, please enter the individual's name here
TYPE N/A IF NO ONE REFERRED YOU
Is your child a student at Universal Creighton Charter School? (IF YES ENTER CODE: UCCS AT CHECKOUT)
if a Creighton Scholar, please enter your child’s most recent report card as proof of enrollment

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Dancer's Name

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