Registration

Registration

Already a customer? Click here to login.

RDA's 17th Annual Dance Block 1 Day Workshop for Mini's (age 5-8) Schedule TBA.

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:

AGREEMENT FOR PARTICIPATION

(Show-Hide Details)

I've read the above and agree.

Release and Hold Harmless

(Show-Hide Details)

I've read the above and agree.

Photo and Video Release Form

(Show-Hide Details)

I've read the above and agree.

Payment Policy

(Show-Hide Details)

I've read the above and agree.

Covid-19 Waiver

(Show-Hide Details)

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to person contact. Robin Dawn Academy, Inc. has put in place the aforementioned preventative measures to reduce the spread of COVID-19; however, Robin Dawn Academy, Inc. cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending Robin Dawn Academy, Inc. in-person classes/ rehearsals/ workshops could increase your risk and your child(ren)'s risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending Robin Dawn Academy, Inc. in-person classes/ rehearsals/ workshops, and that such exposure or infection may result in personal injury, illness, permanent disability, and death. Although Robin Dawn Academy, Inc. has taken the above-referenced measures to keep all children and parents safe, I understand that the risk of becoming exposed to or infected by COVID-19 at Robin Dawn Academy, Inc. may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Robin Dawn Academy, Inc., representatives, volunteers, students and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself, including illness, death, damages, loss, claim, liability or expense of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)'s attendance at Robin Dawn Academy, Inc. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Robin Dawn Academy, Inc., its employees, agents, and representatives, of and from the Claims. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Robin Dawn Academy, Inc., its employees, agents, and representatives, whether a COVID-19 infection occurs before, during or after participation at Robin Dawn Academy, Inc. By signing you agree that your child(ren) is NOT experiencing the following symptoms:
No fever for 2 weeks
No cough
No cold/flu symptoms such as chills, muscle pain, headache or sore throat
No shortness of breath
No loss of smell/taste
No positive COVID-19 test
No close contact with someone who tested positive for COVID-19
Should your experience change at any point in time, you are obligated to notify the studio.

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:*