Registration
Come out ~N~ Boogie to the Beat with your friends and feet. Dr. Seuss in hand, don't be Tardy to the Party! Hip Hop, Lyrical and Jazz with a special "Read Across America Room! TDC's Shining Stars Community Service Troupe will be collecting new and gently used children's books to donate to a local charity. ***Leggings, t-shirt and sneakers - bring ballet/jazz shoes if you have both existing TDC students are invited, along with friends and family. Age appropriate!
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
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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
 
Additional Information:
 
Photo Release
I hereby grant permission to Theater Dance Center to use my child's image on any promotions or advertisements.
(If you do not agree to any of the agreements please register in person at the studio)

I've read the above and agree.
 
Release of Liability
As the legal parent or guardian, I release and hold harmless Theater Dance Center, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Theater Dance Center, its owners and operators or in route to or from any of said premises.
I've read the above and agree.
 
Payment Information
Event fee is $10 per dancer. Payment can be made through the portal via credit card, or at the studio via cash, check or credit card.
Payment needs to be made prior to event as there is limited space available, payment will hold your child's place.

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: