CDA 2026/27

Name (as it should appear in the program)

First NameLast Name

Age

Birthdate:

Date

Dancer’s Email (if applicable):

example@example.com

Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Relationship to dancer

Email

example@example.com

Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Relationship to dancer

Please choose all that apply:

Please check all days on which you are UNAVAILABLE to attend: (*If you have an early fall conflict that will end in October/November, please DO NOT mark as a conflict. Please note Fall conflicts in the box below.)

Please note Fall conflicts and about when they will end for the year.

Previous dance training if not at CDA

Allergies, dietary restrictions or other medical issues we should be aware of

Please select "yes" if you allow permission for your dancer's photo to be used on social media for advertisement purposes now or in the future.

• A $25 registration fee is due immediately upon registration.

• A $35 recital fee will be due in June.

• Classes will begin on September 14th. You will be contacted before then with your weekly schedule. Please let us know if you will be starting late due to a fall sport. *Full annual tuition will still be charged when you miss the beginning of the year. You will still pay for September. Make up classes can be scheduled for anyone who would like to either make up missed classes or take extra classes at no charge.

• Tuition is split into equal, monthly payments, September - June, and is due on or before the 1st of each month. A $10 late fee will be added each week tuition is past due. Your tuition will be determined by level and number of classes and will be sent to you with all other information after the registration period is complete.

• Payment is due on or before your first class.

*Checks made payable to CDA.

**Venmo @emelko7.

Please indicate what month/fees you are paying for in the comments or check memo.

Please submit $25 registration fee via Venmo to @emelko7 upon submitting registration form (+$10 for each additional dancer). If you do not have Venmo, you can bring payment to child's first class.

Additional comments

Please sign stating you have read and accept the information above.

CAMBRIA DANCE ACADEMY Registration Form

DANCER INFO

FIRST CONTACT INFO

SECOND CONTACT

CONFLICTS

Please read the following information: