• Shoreline Dance Class Registration

  • Dancer Information

  • Parent/Guardian Information

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  • Emergency Information

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  • Credit Card Number Exp. 
    CVC         

  • Your card will be automatically billed on the 10th of the month if you have not remitted payment. If your card is declined a $25 late fee will be added to your bill.

  • Handbook Acknowledgement

    I/We acknowledge the Shoreline Handbook as posted online at www.shorelinedance.net.

    Photo and Video Release

    I/We grant Shoreline Dance Studio the right to take photos and videos of my child in connection with the above identified subject. I authorize Shoreline Dance Studio to copyright, use, and publish the same in print and/or electronically.

    Wavier of Liability

    I/We on behalf of myself/ourselves and my/our minor child, hereby release Shoreline Dance Studio, its officers, agents, and employees from all claims from injury or illness which may be sustained by my/our child while participating in dance classes, rehearsals, performances, or other dance related activities. I/We also release the Sheldon Theatre from all claims of injury or illness which may be sustained by my/our child while participating in the Shoreline Dance dress rehearsals and recital performances.

  • Confirmation

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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