Registration
This holiday treat is designed to challenge dancers 14+ who are at the intermediate and advanced levels. Come get a great warm-up, learn technique, and dance through a fun combination!
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
 
Additional Information:
 
Liability
In consideration of the benefits on instruction provided by Art Beat Dance Center for myself, I, intending to be legally bound, do hereby enroll myself in the program and do hereby waive claim and release finally Art Beat Dance Center, Brenna Kuhn, its staff, instructors, and other personnel for claim or liability for any injury or accident occurring or arising from the instructional program or incidental sponsored activities either on or off the premises.
I've read the above and agree.
 
Photography
I acknowledge and give permission for Art Beat Dance Center to film or photograph myself for promotional or educational purposes. No names will be used.
I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments: