Online Registration Form

Northern Lights Dance Online Registration Form 2018-2019

Please fill out and submit our online form with the information requested. Fields marked with an * are required as is the captcha code at the bottom.

Note that there may be some multi-age classes duplicated in the age categories that might be right for your dancer.
The NLDS staff will contact you ASAP to discuss your requests. (updated July, 2018)

Student Name (*)

Please let us know your name.
Birth Year (*)

Please select the student's birth year.
Birth Month (*)

Please select the student's birth month.
Your Email (*)

Please let us know your email address.
Phone Number (*)

Please enter a valid phone number.
Street

Please enter your street address.
Town/City

Please enter your town or city.

Please select the classes you are interested in. For convenience we have grouped these by age categories.

Ages 3 & 4





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Ages 5 & 6








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Ages 5-8



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Ages 5 - 9



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Ages 7 - 9








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Ages 8 - 12



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Ages 9 - 12






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Ages 9+




Invalid Input
Ages 11+



Invalid Input
Ages 12+



Invalid Input
Ages 13+






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If you have any questions about our classes you may enter them in the message box below.

Message (*)

Please let us know your message.
Please enter this code so we know you are not a spam robot - thanks! (*)
Please enter this code so we know you are not a spam robot - thanks!
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