Registration
Keaton Kermode is a Los Angeles based commercial dancer, who strongly values the community created within dance studios. He is the Season 17 Runner Up for So You Think You Can Dance, and has worked with some of the most renowned choreographers in the industry. Keaton's classes focus on the origin of movement and making all of your movement powerful and purposeful. Your dancer won't want to miss this inspirational contemporary class! *Early bird pricing ends 11/24. Price after 11/24 is $65.00*
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Relationship*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact: Name & Phone Number*
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
Payment Policy: CLICK TO READ
  (Show-Hide Details)
I've read the above and agree.
 
Medical/Injury Release: CLICK TO READ
  (Show-Hide Details)
I've read the above and agree.
 
Publicity Release: CLICK TO READ
  (Show-Hide Details)
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:*