On-Line Registration - The Studio Director

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Dance Moves 3

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 *
Province *
Postal Code *
*


E-mail/Login *		(for example: myname@gmail.com)
Additional E-mails		(for example: myson@gmail.com, mydaughter@yahoo.com)

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

Password

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

Password *
Re-type Password *

How did you hear about us?


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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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