Online Registration Form

Northern Lights Dance Online Registration Form 2017-2018

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 are 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 August/2017)

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 (Level 1)








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Ages 7 & 8 (Level 2)













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Ages 9 & 10 (Level 3)












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Ages 11 & 12 (Level 4)










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13 and up (Teen)









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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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