Alpha & Omega Dance Academy - Online Registration 2018-2019
Welcome to online registration for Fall 2018 - Spring 2019! If you have any questions or concerns, be sure to contact us at info@alphaomegadanceacademy.com or give us a call at 910-860-1405. Thank you for choosing us as your school of dance!
Student Name *
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
If you are registering additional members of the same family, simply list the additional name(s) below, along with their DOB(s).
Your answer
Parent Name (if student is under 18yo) *
Your answer
E-mail Address (Mandatory - all statements and info are paperless) *
Your answer
Best Number To Reach You: *
Your answer
Emergency Contact Number *
Your answer
Home Address *
Your answer
We'd love to follow you on social media! (Please leave your Facebook/Instagram handle)
Your answer
How Did You Find Out About Us? *
Referred By (if applicable)
This person receives a discount upon the first month of your enrollment!
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Alpha & Omega Dance Academy. Report Abuse - Terms of Service