Encore Dance Summer Enrollment
Enroll now for our summer dance program. Please provide your details and preferences to secure your spot.
Student's Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Dancer’s age as of September 1, 2026
Dancer’s Grade as of September 1, 2026
Years of Dance Training
Number of years at Encore
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent’s Name
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Choose your classes
*
Mom and Tot
Preschool
Elementary
Leaps and Turns
Acro
Tap
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next
( X )
Registration fee
$50.00
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
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