XDC Enrollment Form

CLICK HERE FOR CLASS DESCRIPTION AND SCHEDULE

For more information log onto www.thexperiencedc.com
This form is for class and performance- related payments only! To purchase merch or required dance attire, please click HERE
Parent's Name*
Type N/A if older than 18
Email Address*
Address (City, State and Zip)*
Phone Number*
Cell Phone
Are you enrolling, paying for Master Classes or paying performance related fees?*

EnrollingPayment-related feesPaying for Master Classes
How did you find out about our program?*

InstagramFacebookSearch EngineStudent/ Parent Referral
If you answered Student/ Parent Referral, please enter the individual's name here*
TYPE N/A IF NO ONE REFERRED YOU
Is your child a student at Universal Creighton Charter School? (IF YES ENTER CODE: UCCS AT CHECKOUT)

YesNo
if a Creighton Scholar, please enter your child’s most recent report card as proof of enrollment

Cancelof

Enter coupon

Dancer's Name