Online Registration - The Studio Director

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Thank you for your interest in the Berest Dance Center
Fall classes begin September 9th
o access the class of your choice please click on the season , and follow the prompts to register and enroll as a new family or enroll in a new class.

If you need assistance contact us.
berestdance@gmail,com or 516 944-6687

Contact Information

Please enter the contact info for who will be paying the bill. If the student is a minor, please enter the guardian's contact info.

First Name(s) *
Last Name *
Address 1 *
Address 2
City *
State *
ZIP *
*


Email/Username *		(for example: [email protected])
Additional Emails		(for example: [email protected], [email protected])

Yes, send me emails related to my account payments, class confirmations, class reminders, cancelled classes, etc. See our privacy policy for how we safeguard your information.

Password

Please make a note of your email-address/username above and the password you enter below. They will be used to log into your account in the future.

In order to provide the most secure environment possible, all passwords must:

Include at least one upper case letter (i.e. A-Z)
Include at least one lower case letter (i.e. a-z)
Include at least one number (i.e. 0-9)
Include at least one special character (i.e. @#$%^)
Have at least 12 characters that are not spaces

Password *
Re-type Password *

How did you hear about us?


More Details

Emergency Contact Information

Who should we contact, other than the contact listed above, in case of an emergency?

Emergency Contact Name(s)
Emergency Contact Phone(s)

* = Required Fields

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