Registration
Drop-in/Sample registration form. $15.00 per class. Click YES on the class which you would like to attend. Questions: Email info@livingartsdance.com. Please disregard the date at the top and use the dates in the checked box.
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
 
Questions/Options:
UNIFORM NOT INCLUDED WITH SAMPLE CLASS, PLEASE WEAR COMFORTABLE CLOTHES SUCH AS LEGGINGS OR SWEAT PANTS, DO NOT PURCHASE DANCE ATTIRE UNIFORM INCLUDED WITH FULL SESSION REGISTRATION.
Friday, February 10, 2023 not available for sample classes.
SATURDAY CLASSES Ages: 5 & up ARE FULL AND NOT AVAILABLE FOR SAMPLE CLASSES.
Sample Class: Monday, Acro - Ages: 5 - 7*
Sample Class: Monday, 7 pm Acro - Ages: 8 - 13*
Sample Class: Tuesday, Mommy/Daddy & Me - Ballet & Tap Ages: 3 - 4*
Sample Class: Tuesday, 6 pm Mommy/Daddy & Me - Hip-hop & Acro Ages: 3 - 4*
Drop- In Class: Wednesday, 6 pm Tap - Ages: 5 - 7*
Drop- In Class: Wednesday, 7 pm Tap - Ages: 8 - 13*
Drop- In Class: Friday, 6 pm Hip-hop & African Dance - Ages: 5 - 7*
Drop- In Class: Friday, 7 pm Ballet & Jazz - Ages: 5 - 7*
Drop- In Class: Friday, 6 pm Ballet & Jazz - Ages: 8 - 13*
Drop- In Class: Friday, 7 pm Hip-hop & African Dance - Ages: 8 - 13*
DATE OF DROP-IN CLASS(ES)?*
NUMBER OF CLASSES ATTENDING?*
TOTAL PAYMENT DUE:*
 
Additional Information:
 
COVID-19 Risk/Awareness
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I've read the above and agree.
 
COVID-19 Safety Policies
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I've read the above and agree.
 
Attire
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I've read the above and agree.
 
Agreement
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I've read the above and agree.
 
Liability Waiver Part 1
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I've read the above and agree.
 
Liability Waiver Part 2
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I've read the above and agree.
 
Studio Policies
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I've read the above and agree.
 
Peanut Free Dance Studio
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I've read the above and agree.
 
Photo Release
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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:*