Account Inquiry

*Child's First Name:

Please enter your child's first name

*Child's Last Name:

Please enter your child's last name as used when you registered.

Account Number:

Please type in your Dancercise Kids account number. You can find this on any of your statements, if you have one. If you do not have a statement (you pay your center, or you are not yet enrolled) please be sure to fill out all of the remaining fields that you can. It will help us serve you better and faster.

*Parent's First name:

Please enter your first name, preferably the name used on the registration form; this helps us to check that we have the right account

*Parent's Last Name:

Please enter your last name, preferably the name used on the registration form; this helps us to check that we have the right account

*E-Mail Address:

Your e-mail address is required in order to send you a confirmation

Street Address:

Please enter your street address if you don't have an account and if it's relevant to your question

City:

Please enter your city if you don't have an account and if it's relevant to your question

State:

Please enter your state if you don't have an account and if it's relevant to your question

Zip:

Please enter your zip code if you don't have an account and if it's relevant to your question

Child Care Center
Name (if applicable):

Enter the name of the child care center if you do not have an account

Child Care Center
Address (if
applicable):

The address of the child care center if you have it handy, or your best approximation (we only need this if you do NOT already have a Dancercise account)

*I have a question
about ....

*Question Detail:

(chars left: 1000)

Please provide specific details of your question or comment

Contact Phone Number:

- - x

Please provide a contact phone number if you would like us to call you, otherwise we will send you an e-mail. We will not send credit card data via e-mail, and neither should you.