Reign Dance Academy Interest Form

Reign Dance Academy Interest Form

Please complete this form to provide your level of interest for the upcoming season.
Reign Dance Academy’s Focus
Our focus will be a holistic approach taking into account the dancer’s emotional and mental well being, and the ability to gain new skills while striving to be the best version of themselves. RDA will offer Master Classes, Private Lessons and Competitive opportunities. The academy age range is 8-19.
Part I - Contact Information
Parent or Guardian Name*

First NameLast Name
Potential Academy Student Name*

First NameLast Name
Email*
example@example.com
Student's Date of Birth*

MonthDayYear
Date
Student's Gender*

FemaleMaleNon-BinaryChoose not to disclose

Part III - Waiver of Liability

Please read and agree to the terms listed: Person signing this release acknowledges our policy and understands that his/her children, and himself/herself, are attending classes or auditions at their own risk and agrees to hold Reign Dance Academy, its instructors, and/or assignees harmless for any liability, claims on demands for personal injuries, sickness or death as well as for expenses due to loss or damage to personal property while on or around the premises. Person signing this form agrees that all audition, tuition and related fees are non refundable and non transferable.
Waiver of Liability Acknowledgement*

I have read and agree to the terms listed above.
Signature*

Clear
Signature Date*

MonthDayYear
Date
Should be Empty:

Part I - Contact Information