Toddler Classes Registration Form

Classes will be held Saturdays from 10:30am-11:00am & 11:00am- 11:30am for ages 16 months - 2.5 years.

If you can't make it on Saturdays we have also added classes on Wednesdays from 4:30pm - 5:00pm for ages 16 months - 2.5 years.

If your dancer is between ages 2.5 years and 3.5 years but not ready for our independent Mini class yet, they are still welcome to join our Toddler Classes.

Each 4 week session is $48 due by the first class of the session. 1 Adult must participate in class with their dancer.

Class will include songs, dancing & mat.
Registration Form

Toddler Dance Classes
Dancer’s Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*
Age*
Phone Number*

Area CodePhone Number
Email (this is the email we send all communication through, you can add multiple emails) Please check your junk mail if you do not receive our email confirmation.*
Any Medical Conditions, Allergies or Special Needs that we should be aware of*
How did you hear of us?
Parent or Guardian Information (If Applicable):
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Emergency Contact (If Different than Parent or Guardian Information)
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Session Enrolling in:

Wednesdays, October 23rd - November 13th 4:30pm-5:00pmSaturdays, October 26th – November 16th 10:30am-11:00amSaturdays, October 26th – November 16th 11:00am-11:30amWednesdays, January 8th - January 29th 4:30pm-5:00pmSaturdays, January 11th - February 1st 10:30am-11:00amSaturdays, January 11th - February 1st 11:00am-11:30amSaturdays, March 1st – March 22nd 10:30am-11:00amSaturdays, March 1st – March 22nd 11:00am-11:30amSaturdays, May 10th – May 31st 10:30am-11:00amSaturdays, May 10th – May 31st 11:00am-11:30am
Payment is due by the first class of the session. Payment cannot be prorated for missed classes. Payments can be made by cash or checks, make checks payable to Contemporary Academy of Dance. Payments are non-refundable.
All Tuition information and Policies are listed on our website.

For public relation purposes photos and videos may be taken of you or your child. If you object to the use of these photos or videos you must notify Contemporary Academy of Dance in writing.
Liability Release
Contemporary Academy of Dance is not liable for any injury, damage or loss of property. I release Contemporary Academy of Dance from all liability, injury, damage or loss of property. I have read and agree to the payment terms, fees, and policies listed on our website.
Signature*

Clear
Date*

MonthDayYear
Date
Once this form is submitted, you will receive an email confirmation within 48 hours. Please check your junk mail if you did not receive an email.
Should be Empty:

Registration Form

Parent or Guardian Information (If Applicable):

Emergency Contact (If Different than Parent or Guardian Information)

Liability Release