2024-2025 Season Registration Form

ICDA 2024- 2025 Season Registration

Please fill out the following information correctly on this form for you and your dancer.
Dancer’s Info
Are you registering a new or returning student?

New StudentReturning Student
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Age
Gender

MaleFemaleOther
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What classes are you registering for?

BalletModernJazzHip- HopAcrobaticsTapDance Discovery
T-shirt size (ex. Small child; large adult etc )
Allergies?
Disabilties or injuries?
Is there anything else we should know about your dancer?
Parent/Guardian Info
Name

First NameLast Name
Relationship to student
E-mail
example@example.com
Phone Number

Area CodePhone Number
Secondary Phone #
Please enter a valid phone number.
Do you prefer to be contacted via text or email in regards to payment, events, and other related information?

textemail
Emergency Contact Info

Please include the contact information of someone other than the parent/guardian listed in the above section so that we can contact them in an emergency.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
The information included in this document is correct and up to date. If there is anything that must be changed I understand that it is up to me (the parent/guardian) to update the ICDA immediately.

yesno
After submitting this form the payment information for your 35$ registration fee will be sent via your preferred method of contact. By submitting this form you are agreeing to the terms that your student is not officially enrolled in classes until the registration fee is received. Failure to pay said fee in a timely manner can result in your student not having a spot in the program if spaces are already full.

Thank you so much for choosing the Infinity Center for Dance Arts for your child's dance education and we look forward to an amazing season with you both.
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ICDA 2024- 2025 Season Registration

Dancer’s Info

Parent/Guardian Info

Emergency Contact Info