2023 Dance Registration Form

2023 APTAD Registration

Fill out the registration form below to register for the 2023/24 Season. Your payment submission is for the month of September, classes start September 11th. If you're enrolling more than one student, please adjust the quantity of registration fees and "Additional Sibling Class" accordingly.
Student 1 Name

First NameLast Name
Student 1 Birthday

MonthDayYear
STUDENT 2 NAME

First NameLast Name
STUDENT 2 BIRTHDAY

MonthDayYear
Parent 1 Name

First NameLast Name
Parent 2 Name

First NameLast Name
Phone Number

Area CodePhone Number
Alt. Phone Number

Area CodePhone Number
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Select Classes Below
Ballet
Modern
Jazz
OTher
Review and E-Sign Contract
Initials
SIGNATURE FOR ABOVE CONTRACT

2023 APTAD Registration