SDA Summer Dance Class Registration Form

The SDA provides a fun and engaging dance program for kids. Our Summer Dance classes are offered once a week in an EIGHT week session, starting the week of June 1st and ending the week of July 24th, 2026. (the exception is the Musical Theatre camp, which will meet on both Wednesdays AND Thursdays)

This program is designed for boys and girls, aged 2 and older. The SDA requires a minimum of 4 registered dancers before a class will officially start. Class sizes are limited to 12 dancers per class - unless specified.

Summer Dance options are held at the SDA Dance Studio located at: 12035 Hwy 92, Suite 200 Woodstock GA 30188

TAKE A LOOK AT THE 2026 SDA SUMMER DANCE OPTIONS...

Dancer Information
Dancer's Name*

First NameLast Name
Dancer's Birthdate*

MonthDayYear
Date
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Does Your Dancer Have Dance Experience?*
I am a current SDA dancerGoddard TrickumFriendSocial MediaGoogleOther

Emergency Contact Information
Name of Emergency Contact*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Relationship to Dancer*

Release Form, Liability and Payment Terms
We, the undersigned parents/guardians, upon signing this agreement do hereby acknowedge that the activities I have requested my child in my care to participate in may be stressful on the body and carry with them the risk of physical injury. On behalf of my child as his/her parents and/or legal guardians, I assume the risk and agree that the Stafford Dance Academy shall not be liable in any way for injuries sustained or loss of property during attendance at the dance studio, any of it's related functions, as a participant or an observer on or off of the premises. Student must be covered by their own family health insurance.

We understand that Stafford Dance Academy from time to time, produces promotional material about it's program. We understand that as a participant the above mentioned minor may be included in a video or photograph taken at the studio or performance venue. We hereby grant to Stafford Dance Academy, it's successors, assignees, licenses, sponsors the exclusive right to photograph and/or video participants and further utilize participants name, face, likeness, voice and appearance as part of the program, and in advertising and promoting the program, without reservation or limitation. This explicitly allows use in any social media campaign or posting, such as Facebook, Instagram, Twitter, or the like. In granting this license, I understand that Stafford Dance Academy is under no obligation to exercise any of its rights, licenses or privileges herein granted by participant.

I understand that tuition is due 10 days after receiving the summer dance class invoice. Payments will be collected through invoice sent from the Studio PayPal account.
Yes, and I agree with it
Should be Empty:

Dancer Information

Emergency Contact Information

Release Form, Liability and Payment Terms