Purple Registration

Contact information

Name

Email for order confirmation

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

Billing address

Country

State

Students:

Quantity

Student Copy billing address

Parent Cell Phone

Country

Home address

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)

How did you hear about us?

Add student

Your price

Registration Fee

$20

Additional 0% tax will be applied at checkout.

Add to your order

ADD: Purple • Thu • Ballet • 5:00pm

No Dance Class - July 4th

ADD: Purple • Thu • Tap • 5:30pm

No Dance Class - July 4th

ADD: Purple • Thu • Jazz • 6:00pm

No Dance Class - July 4th

ADD: Purple • Thu • Hip Hop • 6:30pm

No Dance Class - July 4th

Order summary

Purple Registration

Don't forget to ADD your classes!

$20

Total due $20

Payment information

I understand and agree to the terms

Yes, please send me important news and special offers via email (recommended)

All transactions are secured using 256-bit encryption.

Your order

Purple Registration

Don't forget to ADD your classes!

$20

Total due $20