ACDA TRIAL PERIOD 2026

FREE TRIAL PERIOD 🏰 AUGUST 24-SEPTEMBER 3

The ACDA offers a FREE TRIAL PERIOD for all Academy dance classes! This form must be completed for you and/or your child to participate. Dancers may attend as many free classes as they would like during this period! VIEW OUR FULL CLASS SCHEDULE HERE-> www.artscastle.org/dance 🤗
Dancer’s Name

First NameLast Name
Are you or your child a current ACDA dancer?
Age
Street Address
City, State Zip
Parent/Guardian & Emergency/Medical Information
1. Emergency Contact’s Name

First NameLast Name
Relationship
Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Alt. Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
I can most easily be reached:
If you are not reachable, please list another adult who can be contacted in case of an emergency.
2. Emergency Contact’s Name

First NameLast Name
Relationship
Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Alt. Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
So that we may better assist you/your child and also in case of emergency, please list allergies, dietary restrictions, medical conditions, medications being taken, physical impairments and/or special needs:
Please list any other information you think we should know regarding your child:
Emergency Medical Authorization:

In the event reasonable attempts to contact me or another authorized person listed above have been unsuccessful, I hereby give my consent for the administration of any treatment deemed necessary and/or the transfer of myself/my child to any hospital reasonably accessible.
Emergency Medical Authorization
Please list the ACDA class(es) that you or your child will be participating in for Trial Week:
Participant Waiver

BY SUBMITTING THIS FORM you grant permission for the The Arts Castle to use photographs and/or videos of you or your child in publications, marketing materials, website, social media and in other communications related to the mission of The Arts Castle.

BY SUBMITTING THIS FORM, you release and discharge the Delaware County Cultural Arts Center (The Arts Castle), their agents and employees for any damages, actions, demands and injuries arising out of any participation in this activity, whether they arise at The Arts Castle, out of travel between The Arts Castle and any off-site location, or at any offsite location while participating in the program and have full knowledge of all risks involved in my/my child's participation in the class.
Should be Empty:

FREE TRIAL PERIOD 🏰 AUGUST 24-SEPTEMBER 3