Praise Dance Registration Form

Praise Dance Registration Form
Let's Get Started!

Complete the registration form below to enroll your child.
Student Name

First NameLast Name
Date of Birth

MonthDayYear
Age
Gender
School Attending
Mother's Name

First NameLast Name
Mother's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mother's Email
example@example.com
Father's Name

First NameLast Name
Father's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Father's Email
example@example.com
Emergency Contact

First NameLast Name
Relationship
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Medical Condition/Allergies
Anything I Should Know
Kids T shirt size
Complete Your Registration
Almost done! Clcik Submit to complete your child's registration & payment

Registration + First Month's Tuition

$50 Registration Fee (Includes shirt)

$75 1st Month's Tuition

$125.00 Quantity

Total

Let's Get Started!