Registration
We are so excited for your child to join their friend in dance class.
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 Info (Not Contact #1 or #2)*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Who is your dance friend that is enrolled in class at Releve Dance Company?*
What class, day and time will you be coming with your dance friend?*
 
Additional Information:
 
Waiver of Liability 1
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I've read the above and agree.
 
Waiver of Liability 2
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I've read the above and agree.
 
Disclaimer
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I've read the above and agree.
 
Terms and Conditions
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I've read the above and agree.
 
Media Waiver
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments: