Toddler Classes Registration Form

Registration Form

Toddler Dance Classes
Classes will be held Thursdays 12:00pm-12:30pm for ages 16 months - 2.5 years.

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 & games.
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)*
Any Medical Conditions, Allergies or Special Needs that we should be aware of*
Session Enrolling in:

January 11th - February 1stFebruary 29th - March 21stMay 9th - 30th
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
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
Should be Empty:

Registration Form

Parent or Guardian Information (If Applicable):

Emergency Contact (If Different than Parent or Guardian Information)

Liability Release