Dance Registration Form

Children's Dance Registration Form 2023

2023 Dance Registration Form

Dancer Information:

Dancer's Name:

Age & Birthday:

Previous Training:

Allergies or Medical Conditions:

Class Selection(s)

How did you hear about Us?

Parent/ Guardian's Name:

Phone Number:

Email Address:

Best Method of Contact:

Mailing Address:

Credit/Debit Card (Required for all students)

Expiration Date:

Billing Zip Code:

Security Code:

Request convenient auto-pay to avoid late payment charges.

Please add my account to your automatic payment list.

No thanks, I prefer to make each monthly payment personally.

Please review Studio Policies (bottom of this page)

I have read and agree to adhere by all Studio Policies.

I understand that photos or videos of my child participating in dance could appear in published materials and I release these images to The Dance Element of Wilmington LLC.

I agree to complete a claims release and wellness pledge at the studio when I pick up my dancer's enrollment packet.

Pay the $35 Annual Membership Fee
to complete your dancer's enrollment

Dance Lessons Are Life Lessons.

Our Dancers Become Leaders.

Join Dance Classes for Kids & Adults!
Visit our dance studio in Wilmington NC to explore a variety of fun Dance Classes led by inspiring professional teachers.
Visit Us

The Dance Element is a dance studio
in Wilmington NC dedicated to
promoting healthy minds and bodies,
fostering an appreciation for the arts,
and nurturing lifelong friendships
through quality Dance Education
& Happy Dancing Experiences
for Children & Adults.

The Dance Element of Wilmington LLC
7211 Ogden Business Lane #205
Wilmington NC 28411

Copyright 2010.

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