Student Name *

First Name

Last Name

Student's Birthday *

MM

DD

YYYY

Parent/Guardian #1 Name *

First Name

Last Name

Parent/Guardian #2 Name

First Name

Last Name

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone *

(###)

###

####

Cell Phone

(###)

###

####

I have read, understood, and agree to comply with Stage Door Dance's Policies and Guidelines

More information regarding our policies and guidelines can be found by linking the link available below the Submit button

I agree

I understand that my card on file will be auto-billed on the 1st of each month for regular billing cycles (August-May) and billed as stated for Summer Programming. If I do not want my card on file to be auto billed, I will submit that in writing to info@stagedoordance.com at the time of registration with the understanding that agree to pay by the 5th of each month. Payments not received by the 10th of each month will be subject to a non-negotiable $25 late payment fee.

I agree