Register

RegisterdeAdmin2020-07-01T00:15:33-07:00

2020-2021

This student is already a registered Dance Express student.*
- Yes
- No
Family Information:
Contact #1*
First Last
Type:*
Primary Phone:*
Please provide at least two phone numbers if possible.
Work #:
Other #:
Email:*
Enter Email Confirm Email
Contact #2
First Last
Type:
Primary Phone:
Work #:
Other #:
Email:
Enter Email Confirm Email
Address*
Street Address Address Line 2 City Province Postal Code
Student Information
Student*
First Last
Student Gender:*
- Female
- Male
Birth Date:*

Date Format: MM slash DD slash YYYY

(format=mm/dd/yyyy **Please remember to select the child's birth year or your registration will be delayed.**)
Current Age
Year End
MM
DD
YYYY
Age by Dec 31st, 2020
Age by Dec 31st
Medical/Special Needs:
Allergies:
Years of dance experience:*
Please enter a number from 0 to 16.
What type of dance has this child participated in?*
Where was the experience?*
- Dance Studio
- Community Centre
Desired Classes*
- Tap (Ages 5 and up)
- Jazz (Ages 5 and up)
- Ballet (Ages 3 and up)
- Contemporary Ballet (Ages 10 and up)
- Acro (Ages 6 and up)
- Hip Hop (Ages 5 and up)
- Musical Theatre (Ages 6 and up)
- Lyrical (Ages 10 and up, must also take Ballet, Contemp. Ballet, or Jazz)
- Pointe or pre-pointe (Ages 12 and up, must also take ballet)

Family Information: