Registration
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Join us for a fun and welcoming Open House designed just for our littlest dancers! This is the perfect opportunity for toddlers and preschoolers (and their grown-ups!) to explore our studio, meet our instructors, and get a feel for the joy of dance. Enjoy music and movement, interactive activity stations, and time to connect with our team and other families. You’ll get a glimpse into how we build confidence, coordination, and creativity in a supportive environment. - Explore interactive dance and movement stations - Meet our teaching team - Connect with other studio families - Get all your questions answered about fall classes Please note: This is not a drop-off event—parents or caregivers must stay and participate with their child. Special Open House Offer: Register for fall classes during the event and receive FREE registration (a $50 value)! Come see what makes our studio such a special place to grow, learn, and dance—we can’t wait to welcome you!
Event:
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Family Information
First Name:
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Last Name:
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Type
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Caregiver
Father
Grandparent
Guardian
Mother
Parent
Self
Step-Dad
Step-parent
Home Phone:
Cell #:
Work #:
Email:
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(Emails are kept confidential)
Address:
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City:
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State:
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DE
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Zip:
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Students entered below will be added to your family's account
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Student's First Name:
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Last Name:
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Student:
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Female
Male
Birth Date:
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(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
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10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
kindergarten
preschool
toddler
Allergies (Leave blank if NONE) :
Medications (Leave blank if NONE):
Previous ROOTS Dancer?:
*
Current ROOTS Music Student?:
*
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Student:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
kindergarten
preschool
toddler
Allergies (Leave blank if NONE) :
Medications (Leave blank if NONE):
Previous ROOTS Dancer?:
*
Current ROOTS Music Student?:
*
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Student:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
kindergarten
preschool
toddler
Allergies (Leave blank if NONE) :
Medications (Leave blank if NONE):
Previous ROOTS Dancer?:
*
Current ROOTS Music Student?:
*
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
kindergarten
preschool
toddler
Allergies (Leave blank if NONE) :
Medications (Leave blank if NONE):
Previous ROOTS Dancer?:
*
Current ROOTS Music Student?:
*
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
*
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
kindergarten
preschool
toddler
Allergies (Leave blank if NONE) :
Medications (Leave blank if NONE):
Previous ROOTS Dancer?:
*
Current ROOTS Music Student?:
*
Additional Information:
Media Release
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From time to time, we take pictures and videos of our students during lessons, classes and recitals. Our promise to you is that we won't display them publicly without your consent.
I've read the above and agree.
Release of Liability
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On this day, intending to be legally bound hereby, the undersigned agrees and does hereby release from liability and to indemnify and hold harmless ROOTS Academy and any of its employees, owners or agents representing or related to the Academy as regards to travel or off campus activities. This release is for any and all liability for person injuries (including death) and property losses or damage occasioned by, or in connection with any activity or accommodations for this event. The undersigned further agrees to abide by all the rules and regulations promulgated by ROOTS Academy.
Further I recognize and acknowledge that there are certain risks of physical injury to participants in this program/activity, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my child may sustain as a result of said participation. I further agree to waive and relinquish all claims I may have as a result of my child participating in this program/activity against the ROOTS Academy, including its officials, agents, volunteers and employees. I do hereby fully release and forever discharge the ROOTS Academy from any and all claims for injuries, damages, or loss that I or my child may have or which may accrue to me or my child, connected with, or in any way associated with this program/activity.
I've read the above and agree.
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