Registration form for 2026-2027

Registration form for 2026-2027

You will receive confirmation of enrollment and tuition costs (based on the number of hours of dance) either by text or email within the next few days. Thank you for your patience!
Dancer’s Name

First NameLast Name
Dancers birthdate

MonthDayYear
Date
Dancer 2

First NameLast Name
Dancer 2 Birthdate

MonthDayYear
Date
Dancer 3

First NameLast Name
Dancer 3 Birthdate

MonthDayYear
Date
What are the grade(s) and school district of the dancer(s) you will be enrolling?
Parent or Guardian name

First NameLast Name
Phone Number Parent or Guardian
Please enter a valid phone number.Format: (000) 000-0000.
Parent or Guardian 2 name

First NameLast Name
Phone Number Parent or Guardian 2
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Email 2
example@example.com
Emergency Contact Name, relationship to student, and Phone Number (Should NOT be a parent or guardian)
Returning student?
What is your dancers experience level?
Are you interested in recreational or our competition team?
Please select which classes your dancer(s) are interested in
MONDAYS
TUESDAYS
WEDNESDAYS
THURSDAYS
SATURDAYS
Do your dancer(s) have any allergies or medical conditions we should be aware of?
If YES to above, please explain.
How did you hear about us?
Liability Waiver and Photo/Video Release Form. I, [Parent/Guardian], the undersigned, hereby acknowledge and agree to the following terms and conditions regarding my child's participation in dance classes, activities, events, and performances at Rhythm City Dance by Chelsea LLC. Assumption of Risk: I understand that dance activities involve physical exertion and potential risks, including but not limited to, personal injury, illness, or damage to personal property. I accept all risks associated with my child's participation in dance classes and related activities. Release of Liability: In consideration of my child being allowed to participate in dance classes and activities at Rhythm City Dance by Chelsea LLC, I, on behalf of myself, my child, and our respective heirs, executors, administrators, and assigns, hereby waive, release, and forever discharge Rhythm City Dance by Chelsea LLC, its owners, instructors, employees, and representatives from any and all liabilities, claims, demands, actions, or causes of action arising out of or related to any loss, damage, injury, or illness that may be sustained by my child or me while participating in dance activities. Photo and Video Release: I grant Rhythm City Dance by Chelsea LLC and its authorized representatives the irrevocable right to use photographs, videos, and audio recordings of my child taken during dance classes, activities, events, and performances for promotional, advertising, and educational purposes, including but not limited to the studio's website, social media, brochures, newsletters, and other marketing materials. I understand that I will not be entitled to any compensation, royalties, or any other consideration for the use of my child's image or likeness. I further waive any right to inspect or approve the finished product, including written copy that may be created in connection with the photographs, videos, or audio recordings. I acknowledge that I have read and understood this Liability Waiver and Photo/Video Release Form, and I voluntarily agree to its terms. I intend for this document to be legally binding and to apply to all present and future dance classes, activities, events, and performances at Rhythm City Dance by Chelsea LLC.
Signature
Should be Empty:

Registration form for 2026-2027

Please select which classes your dancer(s) are interested in