Dancer Registration Form

Dancer Registration Form

Please fill out your details to join the summer team. Once registration is complete, your parent packet will be sent to the provided email.
Practices are every Mon & Wed 5:30-7pm
Parent Full Name

First NameLast Name
Parent Email Address
example@example.com
Parent Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Dancer Full Name

First NameLast Name
Dancer Date of Birth

MonthDayYear
Date
Favorite Dance Styles (select all that apply)

Other
Top Size (please specify youth or adult)
Bottom Size (please specify youth or adult)
Shoe Size (please specify kids, men, or women)
Bottom Size (please specify youth or adult)
Shoe Size (please specify kids, men, women, etc.)
Any medical conditions or allergies we should be aware of?

Registration Fee

$75.00 Quantity

Total

By registering for participation, I acknowledge and accept that dance activities involve inherent physical risks. I voluntarily assume full responsibility for any injury, loss, or damage that may occur to myself or my child as a result of participation in rehearsals, performances, or related events. I hereby release and hold harmless the dance team, its directors, staff, volunteers, and affiliated organizations from any and all liability, claims, or demands arising from participation. I certify that I/my child am physically able to participate and agree to follow all safety guidelines and instructions provided.
Should be Empty:

Practices are every Mon & Wed 5:30-7pm