2023 - 2024 Dance Connection Registration Form

Students to register*

	Student 1	Student 2	Student 3
Name
Birthday
Lesson Day & Time
Medical Conditions?
If Prior Dance Experience, When and Where?

Date Starting Lessons

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent E-mail*
example@example.com
Additional E-mail
example@example.com
Parent Phone Number*
Additional Phone Number
Please enter a valid phone number.
How did you hear about us?
Friend (Please put name of friend), Website, Other
DC 2023-2024 Policies and Procedures

Dance Connection Waiver
Terms agreement*

I have read and agree to the Dance Connection's Policies and Procedures above
Terms agreement*

I have read and agree to the Dance Connection's Waiver above
Registration is not confirmed until the registration fee has been paid in full. If we have your card on file it will atomatically be charged. If you know that the card has expired or needs to be updated, please contact the studio. If new, a member of our office staff will contact you for payment information.
Digital Signature*

Clear
Should be Empty:

Dance Connection's 2023-2024 Registration Form