Online Dance Class Registration Form
2026 Kids Dance Spring Schedule
Beg Dance
Thursdays
4:00 PM - 4:55 PM
Ballet I
Thursdays
5:00 PM - 5:55 PM
Pre-ballet
Saturdays
9:30 AM - 10:20 AM
Beg Ballet
Saturdays
10:30 AM - 11:25 AM
Hip Hop 1
Saturdays
11:30 AM - 12:25 PM
Student Information
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Age
*
Gender
Male
Female
Do you want to add enroll more students?
Yes
No
Additional students
Parent/Guardian Information
For minors (below 18 years of age)
Parent/Guardian Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Relationship
Miscellaneous
How do you learn about this online dance class?
Facebook
Instagram
Search Engine
Referral
Other
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Hip Hop 1
$
50.00
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Item subtotal:
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Ballet I
$
50.00
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Item subtotal:
$
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Pre-ballet
$
50.00
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Item subtotal:
$
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Beginner Ballet
$
50.00
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Beginner Dance
$
50.00
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Registration Fee
$
20.00
Quantity
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Item subtotal:
$
0.00
Enter coupon
Apply
Total
$
0.00
Payment & Confirmation
Payment Method
PayPal
Other
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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