Registration
An evening of fun for everyone!
OPEN TO THE PUBLIC
When: SATURDAY NOVEMBER 17, 2018
5:30-10:30pm
Cost: $25 for the first child, $15 for siblings
Sibling discount will be applied after registration
PIZZA PARTY included!
Who is invited to participate: Any child ages 3 -12 throughout the community.
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*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Does your child (children) have any allergies?
Comments/Questions?
 
Additional Information:
 
Injuries/Liability Waiver
Parents and/or legal guardians of minor students and adult students assume a certain amount of risk with dance, tumbling, fitness related and taekwondo activities and agree to waive the right to any legal action for any injury sustained on studio property resulting from normal dance activity or any other activity conducted by the students before, during or after class time.
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:*