2022 - 2023 Dance Connection Registration Form

Dance Connection's 2022-2023 Registration Form

AUTOMATIC PAYMENT CONSENT FORM
Please read all of the polices and procedures by clicking the link below

DC 2022-2023 Policies and Procedures
Parent 1 *

First Name Last Name
Parent 2

First Name Last Name

Students to register *

	Student 1	Student 2	Student 3
Name
Birthday
Lesson Day & Time
Medical Conditions?
If Prior Dance Experience, When and Where?

Date Starting Lessons

Month Day Year
Date
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent E-mail *
example@example.com
Additional E-mail
example@example.com
Parent Phone Number *
Additional Phone Number
Please enter a valid phone number.
We will automatically charge the credit card we already have on file. If you know that the card has expired or needs to be updated, please contact the studio!
Terms agreement *

I have read and agree to the Dance Connection's Policies and Procedures above
Digital Signature *

Clear
Should be Empty:

Dance Connection's 2022-2023 Registration Form