One Dance Florida
Dance classes made easy for busy families.
Student Information
Piccoli Bambini Preschool - Ballet - Thursdays 11:00-11:30 AM - $100 monthly.
Dancer's Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Classroom / Teacher
Parent / Legal Guardian Information
Parent / Legal Guardian Full Name
*
First Name
Middle Name
Last Name
Mobile Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Emergency Contact Name
Emergency Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Allergies, Medical Conditions, Physical Limitations, or Accommodations
Payment Terms
Registration: $25 for the first dancer; $10 for each additional family member. Tuition: $100 monthly, due by the 7th. Classes meet once a week (four classes). A $25 late fee applies on the 10th. Dancers with unpaid tuition may not attend. Pay by cash, check, or Zelle to onedanceflorida@gmail.com.
Participation Agreement
I give permission for my child to participate in One Dance Florida classes and related activities at Piccoli Bambini Preschool. I understand that dance is a physical activity and may involve slips, falls, strains, or other injuries. I accept these ordinary risks and release One Dance Florida and Piccoli Bambini Preschool, including their owners, staff, and instructors, from claims for injury or loss connected with participation, except where a release is not permitted by law. If I cannot be reached in an emergency, I authorize reasonable emergency care for my child and accept responsibility for related costs. I confirm that I am the child's parent or legal guardian and have authority to sign.
I agree
*
I agree
Photo and Video Permission
Photo and Video Permission
*
YES, I give permission - One Dance Florida may photograph or record my child and use the images for promotional purposes.
NO, I do not give permission.
Signature and Final Details
Parent / Legal Guardian Typed Signature
*
Date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Dress code - Girls: pink tights, pink leotard, ballet shoes; hair secured off the face.
Submit Registration
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