Dancercise Kids Participant Registration Page

This secure page is designed for you to register your child for Dancercise Kids classes currently offered by Creative Caterpillar, LLC* at licensed child care facilities and other locations in Milwaukee, WI. You will find it helpful to have a copy of our flyer or other material with you as you complete this form.


Parent (Your) Information

I have an account and am adding a sibling
Parent Full Name
Street Address
E-Mail Address
E-Mail Consent
I agree that Creative Caterpillar, LLC (Dancercise Kids) may use this e-mail address to send me eStatements regarding my account, periodic curriculum newsletters and occasional promotions regarding events and offers. I understand that - at any time - I may opt-out of all communications except eStatements using the Safe Unsubscribe link at the bottom of any e-mail. Creative Caterpillar, LLC does not provide your e-mail or other contact information to any other party.
Day Phone
Evening Phone
Cell Phone

Child Information

Child's Full Name
Child's Date Of Birth
Age of Child (Years) 
Child's Gender
Boy     Girl

Child Care / School Information

School Code
Child Care /
School Description
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Site Information

Terms & Conditions
By checking this box, I am acknowledging that I realize that Creative Caterpillar, LLC offers a comprehensive program of activities for children including various forms of exercise, dancing and tumbling that can result in physical injury. While our instructors make every effort to ensure the children's safety, I will not hold Creative Caterpillar, LLC, its employees or any of its subsidiaries or affiliates liable in the highly unlikely event that my child should sustain an injury. I agree to allow Creative Caterpillar, LLC to use the likeness of my child in photographs and/or video solely for advertising and promotional purposes without compensation to my child or myself.
How did you find us?
Employee   Family   Director  
Promotional Code

Credit Card Information

Credit Card Processing
You must provide a valid credit card in order for your child to participate. This is a secure form, and your credit card details are stored immediately and securely at, a reputable provider of credit card services that is approved by all of the major credit card companies for secure storage of credit card data in compliance with the PCI (Payment Card Industry) standards. Creative Caterpillar, LLC does not keep your card number in any form other than via's secure services, where your card information is masked and unavailable even to our staff. All classes are billed approximately 2 weeks in advance to your credit card. See our terms and conditions for our refund and credit policy. Upon completion of this form, your card will be charged 1c in order to verify the card information - it will be immediately voided and no charge will remain on your card.
Credit Card Type
Credit Card Number
Card Expiration
Card Agreement
I agree that Creative Caterpillar, LLC may charge my credit card for any balance due. I understand that classes are billed monthly approximately 15 days before the start of the month and that no refunds will be given, but that I will receive a statement via e-mail approximately 10-12 days prior to my card being billed and will notify you in advance of cancellation or schedule changes. I understand that a one-time $10 registration fee will be applied per child registered
Additional Comments
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*Dancercise Kids is a dance and exercise program offered by Creative Caterpillar, LLC in Milwaukee. Creative Caterpillar, LLC is a licensee of the Dancercise Kids curriculum. Dancercise and Dancercise Kids are registered trademarks of Kids Fun, Inc, of Minnesota, USA, and all material used in the curriculum is (c) 2000-2013 Kids Fun, Inc.

Common Questions

  • What if I don't know my school code? It's on the flyer you received but if you don't have it, just give us the name and address as best you can in the provided box
  • What happens to my card? Your card is sent immediately to (we don't even see the number) and we process a test charge of 1c which is immediately refunded
  • Why didn't I get a receipt? You should get an e-mail confirmation of registration but we do not bill your card until your child is registered and has a start date, and you will then start receiving e-mail statements
  • Why did I get two charges close together? We bill in advance, so we'll bill you for any current month charges when you register and depending on the day of the month, you may be billed then for the following month, or on the 15th of the current month.
  • I'm having problems submitting the form. The most common problem is that people forget to check one of the three consent boxes, for e-mail, liability and credit card charges. If you're still having problems, call us, we'll be happy to do this over the phone.

Credit Card Processing