Adaptive Dance Class Registration

Please note: Any dancer who intends on participating in the Student Showcase on April 12, 2026, must be signed up for Sessions 3-5. (Registration opens on January 2 for the remaining sessions.)

Student Name

First NameLast Name

Age

Date of Birth

Date

Parent/Guardian Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Where you referred to this class by anyone? Please share their name.

Select the option that applies. All support people are expected to fully participate in the class.

Will you need supervision for other children in your care during the class?

Please use this space to give us any information you would like us to know about your child and his/her needs. Any special accommodation requests?

How does your child communicate their needs?

Does your child have experience participating in a school/group class?

Please describe what worked or did not work in that environment.

Does your child have any sensory sensitivities or needs?

Please select your child's sensory sensitivities

Other

Please explain what other sensory needs your child may have.

Thank you for your interest in Adaptive Dance at Northern Plains Dance. Because your child is under 4 years old, they are not eligible for the current offerings. We suggest that you consider Dance Together as an option until they are old enough to participate in Adaptive Dance. Please submit this form to be added to the mailing list for future Sensory Friendly classes and performances through Northern Plains Dance.

Select your class sessions.

Session 3 | January 9 - February 6

5 Week Session | Fridays 5:45pm-6:15pm

$47.00

Session 4 | February 27 - March 27

5 Week Session | Fridays 5:45pm-6:15pm

$47.00

Session 5 | April 10 - May 1

5 Week Session | Fridays 5:45pm-6:15pm (no class session on Good Friday)

$47.00

Enter coupon

Total

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

By signing below, you release Northern Plains Dance and its agents and employees from all liabilty for personal injury, illness or property damage occurring on or off premises used, rented, leased or owned by NPD. Northern Plains Dance reserves the right to take photographs and/or videos during class. These may include participants. Photos and videos may be used for promotional purposes, including online.

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Adaptive Dance Class Registration

Select your class sessions.*

Select your class sessions.