Registration
Spring Mommy/Daddy & Me Mini Session Dance Registration & Liability Waiver. 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. Full tuition due at the time of completing the registration form to save dancers space in class.
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:
DANCER NAME, AGE & BIRTHDATE*
10 AM: Mommy/Daddy & Me Ballet & Creative Movement Dance Fun*
11 AM: Hip-Hop & Acro Creative Movement Dance Fun*
$100 Tuition includes: 4 dance classes uniform*
10 AM OR 11 AM dance class for 4 weeks = $100 total *
BOTH 10 AM & 11 AM dance classes for 4 weeks = $200 total*
May 3, 10, 17 (No classes Memorial Day Weekend 5/24), Mini Session ends with an In-Studio Observation Day on 5/31 *
Absent days - NO MAKE UP DAYS AVAILABLE.*
Total amount due today: $*
 
Additional Information:
 
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.
 
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:*