Black Registration

Billing information

First name*

Last name*

Email*

We'll send your receipt and other important info to this email.

Country

Address*

Address line 2 (optional)

Zip code*

City*

State*

This product is for someone else

Student info

Parent Cell Phone

Parent Cell Phone*

Parent Email*

Home address

Country

Address*

Address line 2 (optional)

Zip code*

City*

State*

Dancer First Name*

Dancer Last Name*

Dancer's Birth Date*

Dancer's Gender*

Does your child have any medical conditions?*

Additional information we should know about your child and/or family?*

Emergency Contact(s) *

Acceptance

How did you hear about us?*

This is a gift

When would you like this gift to be delivered at?

Time zone: (GMT-05:00) Eastern Time (US & Canada)

Personal note to the gift recipient (optional)

If you want them to know who it's from, tell them here.

How many students?

Quantity

Your payment

Your price

Reg Fee
$15

Have a coupon code?

Coupon code

Update

ADD: Black • Mon • Ballet • 5:00pm

$0 + $77 on 1 Jun 2023 ($77 total)

ADD: Black • Mon • Tap • 5:30pm

$0 + $77 on 1 Jun 2023 ($77 total)

ADD: Black • Mon • Jazz • 6:00pm

$0 + $77 on 1 Jun 2023 ($77 total)

ADD: Black • Wed • Hip Hop • 6:30pm

$0 + $77 on 1 Jun 2023 ($77 total)

Stripe

Card number*

Expiration

CVC code*

3-4 digit code (see where to find it)

All transactions are secured using 256-bit encryption.

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