Season 19 Is HERE!
This form will begin your registration journey. If you have multiple dancers, you will have to complete the form twice!
Dancer Name
*
First Name
Last Name
Dancer Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Dancer Gender
*
Please Select
Female
Male
Other
Leotard Size
*
Please Select
CS
CM
CL
AS
AM
AL
AXL
AXXL
AXXXL
What school will your dancer be attending in the fall?
*
N/A if not attending school
Registering as Friends/Family? Please put the family who referred you below!
N/A if you are a returning student.
Parent/Guardian #1 Name
*
First Name
Last Name
Parent/Guardian #1 E-mail
*
example@example.com
Parent/Guardian #1 Number
*
Are you a new or a current student?
*
Please Select
Yes, this is our first year!
No, we are already a part of the family!
Includes Emergency Contact information, Address change, Second Guardian
Email
example@example.com
Back
Next
Parent/Guardian #1 Address (only needs to be filled out if there has been a change.)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian #2 E-mail
example@example.com
Parent/Guardian #2 Number
Parent/Guardian #2 Address (only needs to be filled out if there has been a change.)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name (NOT THE PARENT OR GUARDIAN PLEASE)
First & Last Name
Relationship
Emergency Contact Phone Number
What classes are you planning on registering for?
Complete Your Policy Waiver & Medical Release!
Below Are Level Up Performing Arts Center (LPAC) Policies:
By Signing Below I Agree To The Above Checked Items
*
Finalize Your Registration By Selecting Your Payment Option (Credit/Debit Card Subject To Convenience Fee):
*
Pay In Full
3 Equal Installments-Initial Payment At Registration, Payment 2 March, Payment 3 April
Submit
Should be Empty: