Registration
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Family Information
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Emergency Contact Info (Not Contact #1 or #2)
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Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
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Last Name:
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Birth Date:
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(format=mm/dd/yyyy)
Student Email:
School:
Grade Level (for the session you are Enrolling):
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preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
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Current Year# at Forever Dance:
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Add New Student #2:
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Student's First Name:
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Last Name:
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Birth Date:
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(format=mm/dd/yyyy)
Student Email:
School:
Grade Level (for the session you are Enrolling):
*
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
*
Current Year# at Forever Dance:
*
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level (for the session you are Enrolling):
*
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
*
Current Year# at Forever Dance:
*
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level (for the session you are Enrolling):
*
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
*
Current Year# at Forever Dance:
*
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level (for the session you are Enrolling):
*
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Primary Doctor:
*
Current Year# at Forever Dance:
*
Questions/Options:
How much dance experience do you currently have?
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Have you ever taken an intensive or attended a convention?
*
Are you interested in classes offered at Forever Dance?
*
Additional Information:
Assumption of Risk
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I do hereby grant permission to Forever Dance, LLC to care for my child in case of emergency. I give permission to the emergency and hospital staff to administer immediate treatment to my child should he/she become injured or sick. I fully understand that all expenses resulting from treatment are my responsibility. The risk of injury to my child from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment and personal discipline may reduce the risk, the risk of serious injury does exist. I knowingly and freely assume all such risks, both known and unknown and assume full responsibility for my child’s participation. I agree to hold harmless Forever Dance LLC and Ashley Stone, its staff and any event facility, for any injury due to my child’s participation in this program. I understand that any activity involving motion and/or height can be dangerous and may result in injury. There is an inherent risk in this or any other activity. I understand the physical aspects of this sport and the risk I am taking by allowing my child to participate in any Forever Dance or Tumbling activities. I understand that my child may be holding other children in lifts and tricks or could be held by other children and I understand the risk and danger of these activities. I shall not hold Forever Dance, its owners, officers, employees, contractors and/or volunteers responsible, at any time, for any injury to my child because of Forever Dance activities even in the case of negligence.
I've read the above and agree.
Payment Policy
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Payment for all intensive fees are due at the time of registration for your spot to be held. Any child with an outstanding balance at the start of class will not be allowed to participate. There is a $30 fee for any returned checks. Payments may be made online with a credit card or in person during normal business hours in the form of credit card, cash, or check. Refunds will not be issued less than 30 days before the event. Any cancelations day 29-10 before the event can receive a credit for another class, intensive or camp. Cancelations less than 10 days before the event will not receive a refund or credit. In the event that the intensive is cancelled a full refund or credit will be given.
I've read the above and agree.
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City:
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DE
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HI
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ID
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IN
KS
KY
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MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
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NV
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