Online Registration - The Studio Director

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Staying active, challenged, and engaged with others is vital to mental health, physical health, and emotional stability. At KJ Dance, we are dedicated to finding innovative solutions and providing exceptional dance training options for dancers of all ages.

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.

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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