Registration
4 openings left in this event!
Children come dressed in your favorite princess dress and dance, make a craft, and read a story each week with a different princess! The last week of class will be our potluck princess party! All Princess Dance Classes start the week of July 8th and are 5 weeks long for $75.00. Craft Fee is included in that price. All Princess Classes are 45 minutes long.
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 Information*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Does your child have any food allergies?
 
Additional Information:
 
Release of Liability
As the legal parent or guardian, I release and hold harmless Freckled Frog Learning Center its owners and operators from any and all liability, claims, demands, and causes of action whats so ever, arising out of or relating 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 of Freckled Frog Learning Center, its owners and operators or in route to or from any said premises. I/we accept that, correct teaching may involve the use of touch by the Freckled Frog faculty members as a necessary tool to correct placement, lines and positions and by signing below I/we authorize and agree to these teaching practices.
I've read the above and agree.
 
Consent of Photography/Video
In signing this form, I consent to and authorize the use and reproduction by Freckled Frog, of any and all photographs, recordings, videotapes, and/or other reproductions of likeness of the student's person or characteristics without compensation to the student.
I've read the above and agree.
 
Medical Emergency
The undersigned gives permission to Freckled Frog, its owners and operators to seek medical treatment for the participation in the event they are not able to reach a parent or guardian. I hereby declare and physical/mental problems, restrictions, or conditions and/or declare the participant to be in good physical and mental health.
I've read the above and agree.
 
Deposit
Non-refundable deposit of $25 due now. We will bill you up the remaining $50 three weeks before the class begins.
I've read the above and agree.
 
Enter your Full Name: *   
 
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