Registration Form Form

If you are unsure whether to register for the Developmental Stream or the Enrichment Stream, click here for some advice!

Enrichment stream interest form

Student's Name *

Parent's Name *

* Indicates required field

Birth Year *

Gender *

Birth Month *

Birth Day *

Age as of Dec 31st *

Address *

Home Phone *

Emergency Contact *

City *

Cell Phone *

Emergency Contact Phone Number *

Postal Code *

Cell Phone *

Email *

How did you hear about Pointflex? *

Name of Referral *

Healthcare concerns we should be aware of *

Comments *

I am a... *

New Student Returning Student

Years Experience (begin counting from age 6) *

Name of Previous Dance Studio *

Submit