ICDC Fall 2025 Enrollment Form

Inspired Collective Dance Theater

Registration 2025
Child 1:*

First NameLast NameAge / DOBSchool & Year Group
Child 2:

First NameLast NameAge / DOBSchool & Year Group
Student E-mail
example@example.com
Student Contact Number
Dance Experience*
YesNoOther
Has the student had/have any medical history and / or allergies that ICDC should be aware of?
Parent / Emergency Contact 1*

First NameLast NameEmailContact Number
Parent / Emergency Contact 2

First NameLast NameEmailContact Number
Address*

Street Address

CityState / Province

Post Code
Additional Adult approved for student pick-up.

First NameLast NameEmailContact Number
Additional Adult approved for student pick-up.

First NameLast NameEmailContact Number
Please upload Vaccination Card below (Parent & Student)

*All dancers 15+ are REQUIRED to be fully vaccinated by March. 1st, 2022, to attend live classes.
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Comments

Dance Classes!

Please email us @inspiredcollectivedance or call (202)-677-9470 with any questions about class placements.
Welcome to INSPIRED COLLECTIVE DANCE!

Dance Dues are collected on the 1st of every month via APPLE PAY, PAYPAL, or CASH APP.

What's included:

_Four hours of dance class a month.

_Additional workshops and classes throughout the season

_One live dance performance

_Community building Activites

_Field trips

_Additionial leadership and performance opportunities

ICDC does not offer dance classes a la carte. Dancers are registered and charged monthly.
Signature
Please indicate below the classes your dancer is interested in (You can make multiple selections for each child):
Child 1:
Child 2:
Classes are billed monthly.
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First Time Student Registration Fee
New Student one time registration fee.

$25.00



One Class
$80.00



TWO Class Combo
This includes two classes of your choice.

$140.00



Three Class Combo
This includes three classes of your choice.

$175.00



Four Class Combo
This includes four classes of your choice.

$215.00



Company Pro (Invite only)
This includes Ballet Class + Modern Class + Hip Hop + Jazz + Company performance opportunities

$200.00



Total

$0.00
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Inspired Collective Dance Theater