Registration
Join us for an upbeat and fun tap class. Anyone 16 years and older is welcome! No experience necessary. Just bring your energy and get ready to move! Wear comfortable, athletic-type clothing that is easy to move in and tap shoes. This 7-8pm class is $15 per person per Drop-In. Must register every time you want to come.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact (Name & Phone) other than parent*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
What is your tap experience? Would you say you are a First-Timer, Beginner, Intermediate or Experienced dancer?*
 
Additional Information:
 
RELEASE, WAIVER OF LIABILITY, ASSUMPTION OF RISK & INDEMNIFI
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I've read the above and agree.
 
RELEASE, WAIVER OF LIABILITY, ASSUMPTION OF RISK & INDEMNIFI
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I've read the above and agree.
 
PAYMENT AUTHORIZATION
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CONSENT TO RECEIVE PROMOTIONAL EMAIL COMMUNICATIONS & TRANSA
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I've read the above and agree.
 
NAME, IMAGE AND LIKENESS RELEASE NAME, IMAGE AND LIKENESS
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I've read the above and agree.
 
PARENT / GUARDIAN WAIVER FOR MINORS (Under 18 years old)
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I've read the above and agree.
 
Authorization of Agreements
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*