Please note: Person listed above assumes primary responsibility for account maintenance. Billing Info is for contact information only.

We will make any necessary corrections and bill your account. Payment and a current account is required to secure a place in each class. Class sizes limited.

By checking 'I Agree' below and submitting this form, you, the Parent or Guardian of the above student(s), agree to release "Studio Name Here", including instructors and assistants from liability for any and all injuries which may occur while training, practicing, performing, or during any studio event or activity. You also agree that you are responsible for health and accident insurance and any medical costs incurred due to injury. You give permission for emergency medical transportation and treatment of your student(s) at your expense should the need arise. You also give your permission for the public display of any studio visual images that your child may appear in.