Registration

FREE TRIAL CLASS - We are thrilled to introduce the Rhythm Works Dance Program at Encore Performers! Our beloved Ms. Lea, certified Rhythm Works instructor, will launch the 8-week inclusive class this fall. Perfect for kids with special needs or disability, this class focuses on skill development, self-empowerment and celebrating our differences.
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: *
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
MEDICAL
I hereby authorize Raynor van der Merwe or any adult she deems appropriate to take necessary actions in the event my above-mentioned child, needs medical attention while attending activities, etc. relating to Encore Performers Inc.
I've read the above and agree.
 
LIABILITY
My child/children has my permission to attend activities, events, competitions, etc. relating to Encore Performers Inc. and release it's owner, staff, instructors, choreographers, landlords, or lessors from any and all liability for injury to my person, my children and / or any charges or damage to property, whether based on allegations of negligence or not; in any way incurred by reason of my participation or that of my children /charges in any class, program, activity, event, competition, etc. offered at or by Encore Performers Inc.
I've read the above and agree.
 
PHOTO/VIDEO RELEASE
Encore Performers reserves the right to use any images of your child, including but not limited to photos and videos, for promotional, marketing and advertising materials (this includes posting on Encore Performer's website and other social media pages).
I've read the above and agree.
 
Enter your Full Name: *   
 
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