BBDC 2026-27 Registration Form

Broadway Bound Dance Center Registration Form

We are on a semester system this registration is for 11/2/26-1/9/27
Student's Full Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Grade
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent 1 Full Name

First NameLast Name
Parent 1 Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent 1 Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent 1 Email Address
example@example.com
Parent 2 Full Name

First NameLast Name
Parent 2 Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent 2 Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent 2 Email Address
example@example.com
Emergency Contact Name

First NameLast Name
Emergency Contact Relation
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Monday - Ballet/Tap

3:45-4:45pm, 3-5 years

$140.00

Monday - Tap

4:45-5:45pm, 6-9 years

$140.00

Monday - Musical Theater Jazz

5:45-6:45pm, 10+ years

$140.00

Tuesday - Acro

4:00-4:45pm, 6-8 years

$105.00

Tuesday -Musical Theater Workshop

5:45-6:45pm, 6 select Tuesdays

$90.00

Tuesday -Adult Jazz

6:45-7:45pm, adult

$140.00

Wednesday -Tumble Tots

3:45-4:45pm, 2-3 years

$140.00

Wednesday -Adult Hip Hop

6:45-7:45pm, adult

$140.00

Thursday -Acro/Jazz

3:45-4:45pm, 3-5 years

$140.00

Thursday -Ballet

4:00-4:45pm, 6-8 years

$105.00

Thursday -Adaptive Dance

4:45-5:45pm, 5-12 years

$105.00

Thursday -Musical Theater Tap

5:45-6:45pm, 10+ years

$140.00

Saturday -Pre-Ballet

9:15-10:00am, 2-3 years

$105.00

Enter coupon

Total

Payment Methods

Choose from one of the PayPal options to make your payment.
Should be Empty:

Broadway Bound Dance Center Registration Form