Registration
Please do not wear your dance shoes in from outside! Bring them, clean, to change into upon arrival. Barefoot, or socks are also acceptable.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Relation*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Will you be attending our Kids Breaking Class (1:00 - 1:25 PM)?
Will you be attending out Teen/Adult Dance Sampler class (1:00 - 1:25 PM)?
Will you be attending our exclusive All Ages International Dance Day Jazz Funk class (1:30 - 2:20 PM)?
Will you be attending our Kids Dance Sampler class (2:30 - 2:55 PM)?
Will you be attending our Teen/Adult Breaking class (2:30 - 2:55 PM)?
 
Additional Information:
 
HOLD HARMLESS AGREEMENT
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I've read the above and agree.
 
COMMUNICABLE DISEASES RELEASE, INCLUDING COVID-19
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I've read the above and agree.
 
DANCER DRESS CODE POLICIES
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I've read the above and agree.
 
PHOTO/VIDEO PERMISSION
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments: