JPDC FALL 2026 Registration: Ages 3-5 Intro To Movement
Parent/Caregiver Name
First Name
Last Name
Dancer Name
First Name
Last Name
Dancer Pronouns
He/Him/His: She/Her/Hers; They/Them/Their
Dancer Age
Dancer Birthday
Parent/Caregiver Email
example@example.com
Parent/Caregiver Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Caregiver Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Participation Level: what would you like to sign up for? (The FALL 2026 session includes 8 class dates, September 20 - November 22. No class 10/11 and 11/1. Class is held on Sundays from 10-10:45am).
Full course ($140)
Drop in ($20 each class)
Payment Method: how would you like to pay? (Full course is due by the first class; payment for drop ins is due at the beginning of each class)
Check (made payable to: Caitlin Fisher Durkin)
Venmo (@JPDanceCoop)
How did you hear about JP Dance Coop?
By signing the below, I hereby grant permission to JP Dance Co-op to take photos of your dancer while participating in dance class at Spontaneous Celebrations, and use these photos in flyers, Facebook posts on JP Dance Co-op’s page and any other marketing materials.
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