(2021 Summer Camps)  Westbrook Dance Academy reserves the right to cancel any week long camp due to enrollment with less than 4 children.

(2021 Summer Classes & Workshops) Westbrook Dance Academy reserves the right to combine, change, or cancel classes due to enrollment with less than 3 students per class or workshop.

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

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?
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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