Dream Studio Dance and Movement LLC Online Registration

Registration

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Welcome to Dream Studio Dance and Movement LLC! Whether you are new to the Studio, or a returning student, please take the time to fill out this form in its entirety. If you have multiple students registering for classes, you can click on the Add Student button on this form, then enter the information pertaining to that student. During the pandemic all families will be billed monthly for tuition.

* denotes required fields

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Additional Info

Emergency Contact Info<br/>(Not Contact #1 or #2)*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name*

Last Name*

Type*

How can we contact you?

Home Phone

Cell # *

Email* (Emails are kept confidential)

Confirm Email*

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell #

Additional Info

Student Email

T-Shirt Size

Allergies*

Photo/video release (Y/N)*

Disclaimer Signed (Y/N)*

Please click on the Search button below, then choose the class. If you have any questions about classes that are offered, please ask Lara Ganz or Kim Mauch before enrolling.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell #

Additional Info

Student Email

T-Shirt Size

Allergies*

Photo/video release (Y/N)*

Disclaimer Signed (Y/N)*

Please click on the Search button below, then choose the class. If you have any questions about classes that are offered, please ask Lara Ganz or Kim Mauch before enrolling.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell #

Additional Info

Student Email

T-Shirt Size

Allergies*

Photo/video release (Y/N)*

Disclaimer Signed (Y/N)*

Please click on the Search button below, then choose the class. If you have any questions about classes that are offered, please ask Lara Ganz or Kim Mauch before enrolling.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell #

Additional Info

Student Email

T-Shirt Size

Allergies*

Photo/video release (Y/N)*

Disclaimer Signed (Y/N)*

Please click on the Search button below, then choose the class. If you have any questions about classes that are offered, please ask Lara Ganz or Kim Mauch before enrolling.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell #

Additional Info

Student Email

T-Shirt Size

Allergies*

Photo/video release (Y/N)*

Disclaimer Signed (Y/N)*

Please click on the Search button below, then choose the class. If you have any questions about classes that are offered, please ask Lara Ganz or Kim Mauch before enrolling.

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

(Show-Hide Details)

Disclaimer And Limitation Of Liability

(This document must be signed by the student, or if under 18 years of age, his or her parent or legal guardian, prior to participating in any activity at Dream Studio LLC.)

Because the physical movement practiced at this studio, including but not limited to, Dance, yoga, and Aerial Silks are inherently physically dangerous activities, injuries may occur. Each student may decline to participate in any activity which he or she deems to be harmful or painful, and must inform the instructor of any physical limitations which may prevent full participation in class.

By signing this document below, you (each member or student, or student's parent or legal guardian) agree to follow all written and oral policies, rules, and instructions that govern the operation of Dream Studio, LLC. You affirm that you have reviewed and understand the studio's handbook, policies, and rules, and understand that any of these may be changed or amended at any time without prior notice.

You understand that the Studio has a "No Refund" policy, and that following your first class at the studio your tuition will be non-refundable.

You agree that if you engage in any form of dance, physical exercise, or other activity at Dream Studio, LLC. You do so at your own risk. This includes, without limitation, your use of the studios, any of the adjacent rooms or offices, the parking area and sidewalk, any equipment, costumes, or stage props, and your participation in any activity, class program or instruction. You agree that you are voluntarily participating in these activities and using these facilities and premises and assume all risk of injury, loss, illness, damage or loss to you or your property that might occur, including, without limitation, any loss or theft of any personal property. You agree on behalf of yourself, and your personal representatives, heirs, executors, administrators, agents and assigns) to release and discharge us (and our affiliates, employees, agents, representatives, successors, and assigns) from any and all claims or causes of action (known and unknown) arising out of our negligence. This waiver and release of liability includes, without limitation, injuries which may occur as a result of a) your use of any equipment or facilities which may malfunction or break, b) our improper maintenance or any equipment or facilities, c) our negligent instruction or supervision and d) you slipping and falling while in the studio or on the premises. You acknowledge that you have carefully read this waiver and releaser and fully understand that is a release of liability. You are waiving any right that you may have to bring legal action to assert a claim against us for our negligence.

By signing below, you acknowledge and agree that all dancing and other exercises, or any other uses of the studio, are undertaken by you at your sole risk and Dream Studio, LLC shall not be liable for any claims for injuries and damages whatsoever to your person or property of your guests, arising out of or connected with any use of the Studio. You further agree to indemnify and to hold the Studio and its employees or other agents harmless from all claims of liability to you or your guests. The sole exception shall be for those claims arising out of the Studio's knowing and intentional failure to correct a dangerous situation brought to its attention.

This disclaimer is intended to provide a comprehensive release of liability, but is not intended to assert any claims or defenses prohibited by law.

I've read the above and agree.

Late Tuition Payments

I've read the above and agree.

Student Photo/Video Release

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments

Payment Information

Account Information

Membership Type*

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

City

State

Zip

Registration

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies and Agreements (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Account Information

Credit Card

Required Policies and Agreements

(Show-Hide Details)