Dance Registration Form

Summer Dance Registration

We're excited to embark on our 6 week summer program! Our summer session is a great way to get your dancer to try a few classes and find dance styles they love! Please check our website for information on schedule, price, and procedures. Contact Tish at 347-784-7748 or email info@thefigurestudio.com for any questions. www.thefigurestudio.com. **Registration is completed upon full payment of class **Full payment is due by July 1 2023
Parent's Name

First NameLast Name
Child's Name

First NameLast Name
Child's Date of Birth

MonthDayYear
Date
Child's Age at Time of Registration
Child's Grade Level
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Styles of Dance You are Registering for (Ballet, Hip Hop, Bollywood) You may choose more 1.
Emergency Contact

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
Special Needs
Allergies
Medications
Referral Information: How did you hear about us?
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I/we realize that participation in dance classes and activities could result in some possible personal injury. Despite precautions being taken by the studio, accidents and injuries may occur. By signing this release form, I/we (the dancer and parent/guardian) assume all risks related to the use of any and all spaces used by The Figure Studio.

I/we understand that dance is an art form that requires teachers to be able to have appropriate physical contact for the purpose of making technical corrections. Consent is granted for such physical contact.

I/we agree to release from responsibility the The Figure Studio, including owner, all teachers, dancers, staff members, and facilities used by both entities from any cause of action, claims, or demands now and in the future. I/we will not hold The Figure Studio, liable for any personal injury including: scrapes, bruises, cuts, sprains, fractures, broken bones, concussions or death or any personal property damage/loss, which may occur on the premises before, during or after classes.

I give permission for my child's photographs/videos to be used for publicity and advertising in the studio, on the The Figure Studio website, and in the community.

The signature below implies agreement to abide by the rules and policies of The Figure Studio as outlined in your welcome letter. This includes, but is not limited to, behavior that exhibits respect to fellow students and the teacher as well as the facility,attendance, adherence to dress code, and compliance with all performance regulations.

By signing below I acknowledge and agree to all of the above.
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Summer Dance Registration

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