One Dance Florida
Dance classes made easy for busy families.
Student Information
The Genius Kids Academy - Ballet - Mondays 3:30-4:00 PM - $100 monthly.
Dancer's Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
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Month
-
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 The Genius Kids Academy. 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 The Genius Kids Academy, 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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