August 2019 Summer Intensive
Email (authorizing us to contact you with emails regarding class registration, information, etc. regarding Design Dance Studio)
Emergency Phone Number
Relation to Emergency Contact
I am enrolling my dancer in:
Mini/Junior August 2-week session (ages 8-11) $200.00
Junior/Teen August 2-week session (ages 10-13) $265.00
Teen/Design Elite August 2-week session (ages 14+) $325.00
Anything special you would love us to know about your dancer?
I plan on paying via:
I have read and agreed to the following statement: I/we realize that participation in dance classes and activities could involve some possible personal injury. By signing this release form, I/we (the dancer and parent/guardian) assume all risks related to the use of any and all spaces used by Design Dance Studio/Design Dance Company. I also authorize Design Dance Studio/Design Dance Company to use photos and videos of my child/myself/the minor child for whom I am a legal guardian for promotional purposes. If I am signing this in my capacity as the legal guardian of a minor child, I authorize Design Dance Studio to use photos and videos of the minor child for promotional purposes.
Should be Empty:
on monthly & annual plans
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