Registration - Adult All Levels (Wednesdays @ 6:30 p.m.)

Please complete the registration form to secure your spot in class. Your personal information is kept private and used solely for class communication and administration.

Student name

First Name

Last Name

Email

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

We’re seeking volunteers to support our Performance Activities and other initiatives. Your involvement can help us achieve our goal of making dance more accessible in our community. Are you interested in volunteering with us?

Yes, please let me know how I can help!

Not at this time

How did you hear about us?

The S.P.A.C.E Upstairs sends emails related to classes, including schedules and updates. By checking this box, you agree to also receive occasional emails about community events and special programs.

Yes, sign me up!

By submitting your registration information, you acknowledge you have read and accepted our Terms and Conditions.

You can review our Terms and Conditions here: https://www.jillianpeever.com/terms-conditions

Yes, I acknowledge that by submitting my registration, I accept the Terms and Conditions.