CPDW Spring 2020 Registration

Charisma School of Dance

Trial Class Registration Form
Dance Student Information
Dance Student Name *
Birth Date*

MonthDayYear
Are there any allergies or medical conditions we should be aware of?*
Primary Address*

Street Address

Street Address Line 2

CityState

Zip Code
Primary Phone Number*
Primary Email address for Studio Communication*
Secondary Email address for Studio Communication
Parent/Guardian Information

Please complete if dancer is under the age of 18 years old.
Parent/Guardian

First NameLast Name
Phone Number
E-mail
Parent/Guardian

First NameLast Name
Phone Number
E-mail
Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Relationship to Dance Student*
How did you hear about us?*
TRIAL CLASS SELECTION

Please fill in the fields below
Trial Class Selection*
TRIAL CLASS REGISTRATION RULES

Charisma School of Dance Policies
Trial Class Registration Rules:
- We welcome you to try any of our scheduled classes (invitation only classes excluded) one time for free.
- You may try the same class 2 additional times for $15 per class.
- After 3 trial classes, official registration is required. We look forward to dancing with you!
Trial Class-Charisma School of Dance Policies:

Personal Items:
- Dancers should bring only essentials to class and leave valuables at home. Cellphones and phone watches may not be used in class, but may be placed in their dance bag. Jewelry and valuables should be left at home. Any clothing or items left at the studio will be kept in our Lost & Found bin for a few weeks. Thereafter, any unclaimed items will be donated. Charisma School of Dance is not responsible for valuables, cellphones, ear buds, headphones, etc that are misplaced, lost, or stolen.
Code of Conduct:
- We work to create a safe and encouraging environment for our families. Please notify us in writing if your child has any behavior, social, or medical issues we should be aware of. We have zero tolerance for bullying. If proven, the dancer/parent/guardian will be removed from the school with no refunds. Dancers/families must be respectful towards their teachers, peers, and the studio space.
Participation/Covid-19 Waiver/Photo Release:
- By signing below, I acknowledge that participation involves physical activity and certify to Charisma School of Dance and its directors and employees that the participant(s) is(are) physically fit for this activity and has (have) not been advised by any medical professional that such participation should be avoided or limited. Though necessary precautions will be taken, I also acknowledge the risks associated with COVID-19 and the potential for my child(ren)’s exposure due to participation at Charisma School of Dance. I agree to abide by Charisma School of Dance’s safety procedures and requirements and hereby release Charisma School of Dance, and its directors, employees and volunteers of any liability for harm or injury incurred under any circumstances. I also give permission for the participant to be filmed/photographed for use in Charisma School of Dance’s publications, media, marketing, and social media. First names may be used in social media marketing.
I have read and understand the Charisma Studio Policies and the Trial Class Registration Rules. My signature confirms I agree to the terms and conditions. I understand these policies may be changed/updated at anytime, which I will be requested to sign the updated version. Charisma School of Dance reserves the right to discontinue service to any dancer/family who is not keeping in line with the studio etiquette and policies as described above.
Dancer's Name*
Parent/Guardian Name (If Dancer is under 18 years old)

First NameLast Name
Authorized Signature*

Clear
Today's Date*

MonthDayYear
Date
Should be Empty:

Charisma School of Dance

Dance Student Information

Parent/Guardian Information

Emergency Contact Information

TRIAL CLASS SELECTION

TRIAL CLASS REGISTRATION RULES