2024-25 DANCER REGISTRATION

2024-25 DANCER REGISTRATION

THIS FORM MUST BE ON FILE
TODAY'S DATE*

MonthDayYear
Date
DANCER'S NAME*

First NameLast Name
PARENT / GUARDIAN NAME*

First NameLast Name
ADDRESS*

Street Address

Street Address Line 2

CityState

Zip Code
EMAIL 1*
E-MAIL IS OUR PRIMARY FORM OF COMMUNICATION TO OUR FAMILIES. WE E-MAIL VERY OFTEN. BE SURE TO WATCH YOUR INBOX!!!
EMAIL 2
example@example.com
PHONE NUMBER 1*
Please enter a valid phone number.
PHONE NUMBER 2
Please enter a valid phone number.
DANCER'S AGE*
DANCER'S BIRTH DATE *

MonthDayYear
Permission to use photos of your Dancer (WE DO NOT POST DANCER'S FIRST OR LAST NAMES) - includes the display, distribution, publication, transmission or otherwise use of photographs, images and/or videos taken for use in materials that include, but may not be limited to, printed materials such as Brochures, Newsletters, Videos and digital images used on THE DANCE STUDIO Website and Social Media Pages, such as Facebook or Instagram.*

OK TO POST IMAGES OF MY DANCERDO NOT POST IMAGES OF MY DANCER
CLASSES REGISTERING FOR
ADDITIONAL CLASSES YOUR DANCER MAY BE INTERESTED IN
PLEASE LIST ANY FOOD ALLERGIES
HOW DID YOU HEAR ABOUT US?
ADDITIONAL INFORMATION YOU WOULD LIKE US TO KNOW ABOUT YOUR DANCER
Should be Empty: