CWDA 2025-2026 Class Registration Form

Primary Email*

example@example.com

Please select your classes:*

Preschool Dance - Tuesday (4:00-4:45pm) AGES 3-4Preschool Dance - Wednesday (4:00-4:45pm) AGES 3-4Kinderdance - Thursday (4:00-5:00pm) AGE 5Contemporary 1/2 - Monday (4:00-5:00pm) AGES 6-7Contemporary 3 - Wednesday (5:45-6:45pm) AGES 8-9Contemporary 4 - Tuesday (5:45-6:45pm) AGES 9-12Contemporary 5 - Wednesday (6:15-7:30pm) *previous dance experience required*Tap 1/2 - Thursday (5:00-6:00pm) AGES 6-8Tap 3/4 - Monday (6:15-7:15pm) AGES 9+Tap 5 - Monday (5:00-6:00pm) *previous dance experience required*Hip Hop 3/4 - Tuesday (4:00-5:00pm) AGES 9-12Musical Theater - Wednesday (3:45-4:45pm) AGES 9-11Musical Theater - Wednesday (4:45-5:45pm) AGES 12+Ballet 1/2 - Tuesday (4:45-5:45pm) AGES 6-7Ballet 3 - Tuesday (5:00-6:00pm) AGE 8Ballet 4 - Monday & Wednesday (5:00-6:15pm)Ballet 5/6 - Monday (6:15-8:15pm), Tuesday (6:00-8:15pm), Thursday (5:00-7:15pm) *previous dance experience required*Ballet 5/6 - Optional step up class, Saturday (10:30am-12:00pm) *previous dance experience required*

Name of Dancer:   First Name*   Last Name*
Date of Birth:   Date*
Age:   Number*
Allergies/Other Concerns:

PARENTS/GUARDIANS:
Contact 1:   First Name*   Last Name*
Phone #:     Phone Number*

Contact 2:   First Name*   Last Name*
Phone #:     Phone Number*

Mailing Address:   Street Address*City*State*Zip*

EMERGENCY INFO/CONTACT: (Name of relative/friend in case parent/guardian is unavailable)
Name:   First Name*   Last Name*
Relationship:   *
Phone Number:   Phone Number*

Method of Payment (select one):
Cash Credit EFT (same account) New EFT*

Please select one of the following:
Yes, I give my permission to CWDA to take and use photographs of my child
No, I prefer my child is not photographed and no photos of my child are used*

CWDA WAIVER AND RELEASE OF LIABILITY:
Every participant and/or legal guardian must read and understand this Waiver and Release of Liability prior to participating in any classes at CWDA.

I hereby agree to assume all risks and responsibility, and to release and hold harmless Central Washington Dance Academy, their employees, sponsors, trainers, coaches, and affiliated parties (collectively “CWDA”) from any and all claims, actions, causes of action, proceedings, damages, costs, demands, including hospital cost, court costs, and costs on a solicitor and his own client basis, and liabilities of whatever nature or kind arising out of or in any way connected with my/my child’s participation in classes/program(s).

I have read all of the above policies plus the guidelines (click here) for CWDA and by signing below I agree that I have been informed of these policies for the coming school year.

Yes, I have reviewed CWDA’s rules and regulations*
Signature* Date*