Step 1: Student Information
NEW Student:            RETURNING Student: 

Student First Name:*   

Last Name: 

Birthdate:*   Age:   

Grade:   Years of Dance: 

Medical Conditions: 

Parents' Name:* 

Home Phone Number:   

Cell Phone Number: * 

Emergency contact: 

Emergency number: 

Address: 

City:   

State:   Zip: 

Email:* 

*IMPORTANT: We will use this address for communication about billing, student evaluations, and other important topics. Please keep us up-to-date if your email address changes throughout the year, and do not treat studio email as junk mail.

 * = Required items

Step 2:  Choose Your Classes

Select classes from the list below and then click the "Register" button at the bottom. If a class you are wanting is FULL, please contact us about being put on our waitlist.

 By checking this box, I state that I have read, and agree with, the policies of Dance Inspiration Studio. Click here to view our Studio Policies.

Parent/Guardian name:   Date: 

Step 3: Pay the Registration Fee

After clicking the REGISTER NOW button above, you will be taken to a payment page. Your registration will not be complete until your payment of a $25/dancer (or $35/family) registration fee has been made.

When making payment, be sure to enter the child's FULL NAME and what the payment is for. You can also mail your payment to: P.O. Box 641977 Omaha, NE 68164