Dancezone Registration and Waiver 2026-2027

Dancezone Registration and Waiver 2026-2027

PO Box 3211 Bellaire TX 77402 832.794.3048
Dancer’s Name

First NameLast Name
Parent’s Name

First NameLast Name
E-mail
example@example.com
Dancer’s E-mail
example@example.com
Parent’s Phone Number

Area CodePhone Number
Dancer’s Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date

MonthDayYear
School
Grade
Training Days:
Training Hours:
Allergies to medication and/or any foods *Any health/medical issues that we should be aware of?
Emergency Info Authorized Persons to pick up my child
Emergency Contact

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
Emergency Contact

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
Parent/Guardian Signature
Should be Empty: