Adult Drop-In Registration

Adult Drop-In Classes

Schedule begins September 9th
Name*

First NameLast Name
Which class and date(s) are you signing up for?*
Pilates Mat Tuesdays & Saturdays 8-9am, Beginner Ballet Wednesdays 7-8pm, Int/Adv Ballet Tuesdays 9:30-11, Modern/Contemporary Tuesdays 7:30-8:30pm, Tap Tuesdays 6:30-7:30pm, Hip Hop Thursdays 7:30-8:30pm
Date of Birth*
Parent Name (if under 18)

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Are you a Pepperell Mill or Biddeford/Saco Chamber of Commerce Member or Employee?*

YesNo
Please tell us about any allergies, medical, or special circumstances we may need to know about.
Waiver of Liability:

By submitting this form, I acknowledge the risk in physical activity during dance, fitness, and movement classes and release Dirigo Conservatory of Movement from all liability of injury that may occur while participating in said risk.
Payment is due at the start of the first class and can be made in the form of cash, check to Dirigo Consveratory of Movement, or Venmo @dirigoconservatoryofmovement, DCM will begin using the online software Wellnessliving soon in order to offer Credit Card payments, thank you for your patience!

Drop-In $18, 10-Class Package $160
Should be Empty:

Adult Drop-In Classes