Summer 2025

Summer 2025

Please fill out the information below to register for classes.
Student Information
Mothers Name

First NameLast Name
Mothers Phone

Area CodePhone Number
Fathers Name

First NameLast Name
Fathers Phone

Area CodePhone Number
Preferred Email
Additional email
example@example.com
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact
CLASS REGISTRATION

Please select the classes you want to register for below. You may select multiple classes on each day if needed.
Monday
You may select multiple classes
Tuesday
You may select multiple classes
Sibling 1
Monday
You may select multiple classes
Tuesday
You may select multiple classes
Sibling 2
Monday
You may select multiple classes
Tuesday
You may select multiple classes
Sibling 3
Monday
You may select multiple classes
Tuesday
You may select multiple classes
Comments
Please pay the registration fee by the first day of class. Cash or Check accepted.

Registration Fee is $20.00 for one child and $25.00 for more than one child in the immediate family. Registration Fee is non-refundable.
I do or do not authorize The Dance Factory LLC to use my child’s picture for media purposes (ie: studio website, facebook, instagram etc)
DANCE PROGRAM AGREEMENT

In consideration of the participation of my child in the Dance Program at The Dance Factory, I hereby agree to pay all fees and dues for my child’s dance according to the class enrollment described in the Registration Form.
E-Signature

First NameLast Name
Monday
You may select multiple classes
Should be Empty:

Summer 2025

CLASS REGISTRATION

Sibling 1

Sibling 2

Sibling 3

Please pay the registration fee by the first day of class. Cash or Check accepted.

DANCE PROGRAM AGREEMENT