Register Today

Register your interest today in joining Encore Dance Collective

Student Name *

Date of Birth *

Students Phone Number (If Applicable)

Parent/Guardian Name *

Parent/Guardian Phone *

Email address *

What is your Preferred way of Contact? *

Phone
Email

Does The Student have any Medical Conditions? If yes please specify.

Do you give EDC permission to take photos and videos of your child to be posted on social media? *

Yes
No

What Dance Classes is this student Interested in? *

Are you interested in in Dance Competitions? *

Yes
No

Do you agree to the Terms and Conditions attached below? *

Yes
No