All Abilities Creative Movement at LDT
New Dancer(s) Registration Form Spring 2026
1st Dancer Full Name
*
First Name
Last Name
Age
*
2nd Dancer Full Name
First Name
Last Name
Age
3rd Dancer Full Name
First Name
Last Name
Age
Guardian Contact Info
*
First Name
Last Name
Address
*
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Emergency Contact (if dancer is being dropped off)
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Do any of the dancers have a disability?
Yes
No
What would you like us to know to dance with you/your dancer?
You are registering for classes in St. Clairsville, Ohio. A $25 deposit *per child due at time of registration.
Creative Movement 12-1pm. Ages 7+ $175
*Important note: Dance instructors/assistants will not feed, assist in toileting, or give medication to any dancer. If you/your dancer needs assistance with any of these, please plan to have a support person present during the class. There are waiting areas right outside the dance rooms that you are welcome to use.
*
Please Select
I Understand
*We believe dance should be inclusive in all ways. For scholarship inquiries please email us at inclusivedancewv@gmail.com
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