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. Winter Session Classes Open for Drop-Ins: January 24 - February 24.
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:
Monday - Adult only Stretch & Strength 8 pm*
Tuesday - Adult Contemporary Ballet (Lyrical) 7pm*
Tuesday - Zumba 8 pm*
Wednesday- House & Street Jazz 8 pm*
Thursday- Adult Hip-hop 8 pm*
Friday - Adult Tap 8 pm*
Friday- Adult African Dance 8 pm*
DATE OF DROP-IN CLASS(ES)?*
NUMBER OF CLASSES ATTENDING?*
TOTAL PAYMENT AMOUNT DUE ($15 per class):*
 
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:*