Registration
Welcome to Living Arts Dance, Inc. Adult dance class registration form. Please complete the entire form below. Call 888.257.9992 or email info@livingartsdance.com if you have additional questions. Thank you.
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:
Drop-In $18 per class or $15 if you bring a friend.*
Which class & date of drop in? (Example: Tap Friday, 2/9, bringing friend).*
Adult 8 Week Session Class: $100 - Ballet & Jazz Thursdays 8 pm - starts 2/1*
Adult 8 Week Session Class: $100 - Hip-hop Thursdays 8 pm - starts 2/1*
Adult 8 Week Session Class: $100 - Taps Fridays 8 pm - starts 2/2*
Adult Private Lessons: Regular Rate - 30 minutes - $35.00, 45 minutes - $50.00, 60 minutes - $65.00
Adult Private Lesson: Please describe the amount of lessons you would like to purchase, duration, lesson genre, days of the week, times, and we will reach out via email to schedule your lesson.
Total Rate:*
 
Additional Information:
 
Online Dance Discounts Class Registration
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Registration
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Purchase Agreement
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Liability Waiver Part 1
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Liability Waiver Part 2
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Photo Release
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Studio Policies
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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:*