dancehampton.com - Online Registration Form

This is the dancehampton.com Online Registration Form. By filling out this form you are registering for one(or more) of our classes. If you feel more comfortable you can always use our Printable Registration Form and fill it out and drop it off at the school.

To fill out this survey simply fill in the appropriate fields then click the Submit button at the bottom of the survey.


**Please fill out a registration form for each individual student***


Class Registration Info

1. Student Name:

2. Student Date of Birth

3. What class's are you registering for (Class, Day, Time):


Contact Info:

Parents of Guardians Names:

Full Address:

Home Phone:

Cell Phone:

Email Address:

In Case of Emergency Please Call:

Any allergies or other important information we should know about your child:

Payment Info:

How will you be making payment:

Check  

Cash

Other Questions:

1. How did you first hear about dancehampton?

Word of Mouth

Newspaper/Print Ad

Radio Ad

This website / Google (Search Engine)

Other: