Student Registration Form

Please provide us with the information of the primary account holder. We will send all account notifications to this person. This person should be a responsible person over 16 years of age. By completing this form you give permission to The Regency Dance Centre Ltd to hold and process your personal data. Please see our GDPR Policy for further details. 

Please enter your first name
Please enter your surname.
A valid email is required for confirmation email to be sent.
Invalid Input
Invalid Input
Invalid Input
Please enter your phone number and only use numeric characters
Invalid Input
Invalid Input
Invalid Input
Student Details
Invalid Input
Invalid Input
Invalid Input
Please put the date in the format dd/mm/yyyyy e.g. 01/01/2024
Invalid Input
Please let us know if there are any health conditions or problems that we need to be aware of.
Invalid Input
Newsletter

Sign up to our email newsletter to get offers, news and class information straight into your inbox! It is the quickest and easiest way to stay updated on all things Regency!

Invalid Input
Invalid Input
You must agree to our Terms and Conditions in order to submit this form.

Newsletter

You can subscribe to receive either our News, Schedule and Updates or just our Event Guide.

Contact us

If you have any queries, please do not hesitate to contact us.

Connect with us