Dancefx ATLANTA Drop-IN & Punch Card Form

Welcome to Dancefx Atlanta! We are so glad you are here. Fill out the form below to ensure that you reserve your spot in class.

Want to register for the current session? Register here. Click here to view our tuition and fees.

YOUTH SCHEDULE & ADULT SCHEDULE

Dancer's Name

First Name

Last Name

Gender

Dancer's Birthdate

YYYY

How did you hear about Dancefx?

Friend or Family, Google Search, Drive By, Gift/Promotion, Flyer from School, etc.

Parent's Name (if under 18)

Email Address

Phone Number

(###)

###

####

Which Session:

Spring 2024

Community Class

Drop-in Type

Regular Fall/Spring Sessions: If this is your VERY FIRST time dropping into a class at Dancefx, your drop-in rate is only $8. If you are a returning drop-in student, or you are trying a different class after your first drop-in, your drop-in rate is $20. Punch Cards are available for purchase and must be used within 3 months (4 Classes - $78 // 10 Classes - $195) If you received a special gift or promotion, select Promotion/Gift.

Credit Card Number (If you already have a card stored in our system, please write "card on file." If you would rather provide your card information over the phone or in person, please write "Will provide card information prior to class." Please know that your registration is not complete until payment is received.)

Credit Card Expiration Date

Credit Card CVV/CVC

Would you like us to save this card information on file to be used in the future? If you select "no" the information will be disposed immediately following the initial charge. Card information kept on file is encrypted as soon as it is saved on the dancer's account.

Yes please

No thank you

Promo Code

Which class(es) would you like to drop-in to?

Please list the specific classes, dates, and class times for which you would like to register.

Thank you for registering at Dancefx! Please note that by submitting your electronic signature above, you are providing an electronic mark that is held to the same standard as a legally binding equivalent of a handwritten signature provided by you. Your registration will not be completed until payment has been received, and we must have a signed liability waiver on file prior to the dancer's first class. Please contact kia@dancefx.org, call our front desk at 770-645-0110, or visit the studio during business hours to submit information for payment if you have not done so within this form.

OK!

Use this space to write any notes or questions.

Cart (0)