Registration

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Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Who is your employer?
Student #1
(format=mm/dd/yyyy)
Additional Info
Enroll in Classes
Select Class
Required Policies and Agreements
I/We, the Parents or Guardians, agree to permit our child to participate in the dance program and instruction as provided by Five Flags Dance Academy, LLC.

I/We, the Parents or Guardians, do release and hold harmless Five Flags Dance Academy, LLC, its agents and employees, of and from all claims and liability by reason of any injury suffered by our child as a result of participation in the dance program, whether or not it is alleged that such injury occurred by reason of the sole fault or negligence of the said Five Flags Dance Academy, LLC, its agents or employees or in part as a result thereof.

I/We, the Parents or Guardians, authorize any officer/director of Five Flags Dance Academy, LLC, to consent to all necessary medical care and treatment of child whether such involves first aid, the care and treatment of a medical doctor, the emergency room or admission to a hospital.

Studio Policies and General Info is at the Studio and available at registration. Please pick up at the Studio and can be mailed or emailed.

I Agree to All of the Above
Questions or Concerns
Payment Information
Credit Card