Registration
Please complete the following form and submit payment to secure a spot in the Parent+Child Pop-up Class on Saturday, April 5th @8:45am @ our Bellevue Studio. $25 for 1st child and $10 for additional children. SAVE THE DATE - Parent + Child Summer Series- June/July 2025, Saturdays at 8:45am **For more information, email alyssa@moveinclusivedance.com; Spots fill quickly so let us know asap if you would like to enroll!
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:
Any sensory sensitivities?*
If yes please explain: *
 
Additional Information:
 
Waiver
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification: