Student Waiver

Download and Print the student waiver and fill out the information completely.
Signed forms can be returned in person at your next class. 

If you have any questions, please CONTACT US.

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Class Registration

Student Name *
Student Name
Student's Birthdate *
Student's Birthdate
Please provide student dance history. Include lessons, instructors, studio locations and dates.
Guardian Information
Primary Guardian Name *
Primary Guardian Name
Primary Guardian Phone *
Primary Guardian Phone
Primary Guardian Address *
Primary Guardian Address
Secondary Guardian Name
Secondary Guardian Name
Secondary Guardian Phone
Secondary Guardian Phone
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone