Stack The City: Neighborhood Dance League Registration

Stack The City: Neighborhood Dance League Registration

Complete this registration to join the league and ensure your information is accurate and up-to-date.
Program Schedule and Location
Join us for a four-week summer program beginning July 7 that builds skills, teamwork, and community spirit — culminating in a festive closing celebration, 'It St(ARTS) in the Park,' on Saturday, August 1 at Mary Hannon Park. Please note: the August 1 celebration is the program’s closing event, not the final competitive representation opportunity. After the four-week program, a limited number of participants will be selected to represent their neighborhoods at the Stackin’ Stylez Freestyle Dance Festival (October 9–12, 2026): 10 youth from Roxbury and 10 youth from Dorchester will be chosen. Selection is limited and not guaranteed for every participant, so attendance and participation do not ensure selection.

Roxbury - Tuesdays at Madison/Dewitt Park basketball court

Dorchester - Thursdays at Roberts Playground basketball court
Please select Roxbury or Dorchester.
Program commitment acknowledgment
Participant Information
Full Legal Name

First NameMiddle NameLast Name
Preferred Name
Date of Birth

MonthDayYear
Date
Age
Pronouns
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
School
Grade
Neighborhood
T-Shirt Size
Prior Dance Experience
Accessibility or Accommodation Needs
Participant Goals, Interests, and Anything Else Staff Should Know
Guardian / Adult Contact Information
Parent/Guardian Name

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

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Secondary Guardian / Adult Contact Name

First NameLast Name
Emergency Contacts and Pickup Authorization
Emergency Contacts
Authorized Pickup List
Persons Not Authorized to Pick Up
Medical and Safety Information
Medical Conditions

Other
Allergy Details
Asthma Details
Seizure Details
Diabetes Details
Heart Condition Details
Injury or Surgery Details
Physical Limitation Details
Dietary Restriction Details
Support Needs Details
Other Medical Details
Emergency Medications on Hand

Other
Additional Medical Information
Safety Acknowledgments
Liability, Medical Treatment, and Policy Acknowledgments
PROGRAM PARTICIPATION, ATTENDANCE, AND CANCELLATION POLICY Participants are expected to attend practices, rehearsals, league activities, and performances on time and prepared. Please let staff know as soon as possible if a participant will be absent or late. Repeated unexcused absences, ongoing lateness, unsafe behavior, or failure to participate appropriately may affect placement, performance eligibility, or continued enrollment. Stack The City may adjust schedules, instructors, locations, and programming when reasonably necessary because of weather, facility closures, emergencies, low enrollment, or other circumstances beyond our control. Withdrawals, cancellations, and makeup opportunities will be handled according to the program rules communicated by staff.
I have read, understand, and agree to the policy above.
CODE OF CONDUCT, ANTI-BULLYING, AND INCLUSION POLICY Stack The City is committed to a safe, respectful, and inclusive environment. Participants and guardians must treat other participants, families, staff, instructors, volunteers, guests, venues, and property with respect. Bullying, harassment, discrimination, intimidation, threats, fighting, retaliation, hazing, sexual misconduct, theft, intentional property damage, unsafe conduct, weapons, illegal drugs, alcohol, vaping, or participating while impaired are prohibited. Participants and guardians must follow instructor directions, respect personal boundaries, and use behavior appropriate for a youth and family program. Concerns should be reported to program leadership. Depending on the situation, consequences may include a warning, a restorative conversation, parent or guardian contact, removal from an activity, suspension, or dismissal.
I have read, understand, and agree to the policy above.
HEALTH, MEDICAL DISCLOSURE, AND SAFETY POLICY Parents, guardians, and participants must provide accurate, complete, and current information about allergies, medications, asthma, seizures, diabetes, heart conditions, injuries, surgeries, physical limitations, behavioral or sensory needs, accommodations, and any other condition that could affect safe participation or emergency care. They must promptly notify staff of any change. Participants are responsible for bringing required personal medications and medical devices unless a separate written arrangement has been approved. Emergency medications, such as inhalers or epinephrine, should be clearly labeled and accessible according to the participant’s care plan. Participants must wear appropriate clothing and footwear, remain hydrated, follow warm-up and safety directions, and stop activity and inform staff if they experience pain, dizziness, breathing difficulty, or other concerning symptoms. Staff may pause or end participation when they reasonably believe continued activity presents a safety risk.
I have read, understand, and agree to the policy above.
EMERGENCY MEDICAL TREATMENT AUTHORIZATION
If a participant becomes ill, injured, or experiences an emergency, program staff will make reasonable efforts to contact the parent, guardian, adult participant, or listed emergency contacts. If immediate action appears reasonably necessary and the appropriate contact cannot be reached promptly, the signer authorizes Stack The City staff or representatives to call 911, arrange emergency transportation, communicate relevant medical information to responders, and authorize emergency evaluation or treatment recommended by licensed medical professionals. The signer understands that the participant or parent/guardian remains responsible for medical, ambulance, hospital, medication, and related costs.
I have read, understand, and agree to the policy above.
ASSUMPTION OF RISK AND RELEASE OF LIABILITY
Dance training, freestyle dance, warmups, stretching, conditioning, rehearsals, demonstrations, battles, and performances involve physical exertion and ordinary risks, including slips, trips, falls, collisions, overexertion, dehydration, strains, sprains, bruises, fractures, aggravation of existing conditions, and other injuries. The signer understands that not every risk can be predicted or prevented and voluntarily chooses participation with knowledge of these risks. To the fullest extent permitted by Massachusetts law, the signer releases and agrees not to hold liable Stack The City, Stackz Worldwide, the Neighborhood Dance League, their officers, directors, employees, instructors, volunteers, contractors, sponsors, partners, and participating facilities for claims arising from ordinary negligence connected with participation. This waiver does not attempt to waive claims involving gross negligence, reckless conduct, intentional misconduct, or rights that cannot legally be waived. To the extent permitted by law, the signer agrees to indemnify the released parties only for losses caused by the participant’s intentional misconduct or material violation of program rules.
I have read, understand, and agree to the policy above.
MEDIA RELEASE AND PRIVACY OPTIONS
Stack The City may photograph, record video or audio, livestream, interview, or otherwise document program activities. Declining media consent will not affect eligibility to participate, and staff will make reasonable efforts to honor a decline, but incidental appearance in wide crowd shots may be difficult to avoid. Publicly distributed material may also be difficult to fully remove.
Media Release Permissions
Communication Consent
Internal Program Documentation
Website and Email Communications
Audio Recording Permission
Website and Promotional Materials Permission
AUTHORIZED PICKUP POLICY
Minors will only be released to listed authorized adults unless written notice is provided. Identification may be required, and any emergency contact changes should be communicated directly to staff.
I have read, understand, and agree to the policy above.
COMMUNICATION CONSENT POLICY
Email, text, and phone may be used for schedules, emergencies, closures, and program updates. Routine communication consent may be withdrawn, while essential safety communications may still be necessary.
I have read, understand, and agree to the policy above.
PRIVACY AND INFORMATION USE NOTICE
Registration and medical information will be used for program administration, safety, emergency response, and required reporting. Access should be limited to staff and partners who need it, subject to applicable law and organizational practices.
I have read, understand, and agree to the policy above.
ELECTRONIC SIGNATURE, AUTHORITY, AND ACCURACY CERTIFICATION
The signer certifies that the information is accurate, has authority to sign, understands the policies, and agrees that the electronic signature has the same effect as a handwritten signature.
I have read, understand, and agree to the policy above.
Volunteer Interest and Referral Source
Would you be interested in volunteering with Stack The City?
Area of Interest (optional)

Other
Other
Referral Souce: How did you hear about Stack The City?

Other
Other
Electronic Signature
Printed Name of Participant

First NameLast Name
Printed Name of Parent or Guardian

First NameLast Name
Relationship to Participant
Participant Signature
Parent or Guardian Signature
Signature Date

MonthDayYear
Date
Should be Empty:

Stack The City: Neighborhood Dance League Registration

Program Schedule and Location

Participant Information

Guardian / Adult Contact Information

Emergency Contacts and Pickup Authorization

Medical and Safety Information

Liability, Medical Treatment, and Policy Acknowledgments

Volunteer Interest and Referral Source

Electronic Signature