Registration
This is for friends of currently enrolled dance students.
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
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Who is your Virtuosity Dance Friend?
Would you like us to reach out to you about dance options for your child?
 
Additional Information:
 
Waiver I
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I've read the above and agree.
 
Waiver II
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I've read the above and agree.
 
Waiver III
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I've read the above and agree.
 
Waiver IV
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I've read the above and agree.
 
Waiver V
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I've read the above and agree.
 
Waiver VI
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments: