HEROIX JR. - Parent Sign-In Form

HEROIX JR. - Parent Sign-In Form

(Project: Inspire | Tumon, Guam)
AFTERSCHOOL HEROIX
An Inspire 101 Program by Project: Inspire

The Afterschool Heroix Youth Program is more than just dance—it’s a creative space where young movers train, grow, and shine. Meeting three times a week, students build strong foundations in choreography, freestyle, and performance while learning teamwork, discipline, and confidence.
Instead of traditional recitals, Heroix gives dancers the chance to star in high-concept, professional dance videos, turning their hard work into lasting creative projects they can share with family, friends, and the world. Along the way, students also learn about collaboration, storytelling, and expressing themselves through movement.

Whether they dream of performing on stage, building their artistry, or simply finding a supportive community after school, Heroix helps youth unlock their potential and discover their inner hero—one class at a time.

CURRENT 2026 SPRING SCHEDULE

Monday & Wednesday

Beginners Class | 5PM-630PM

Saturday

Kids Workshop | 11AM-12PM
Beginners Class | 12PM-130PM

This sign-in form is used to record student participation in Heroix Jr. sessions and to ensure we have accurate parent/guardian contact information in case we need to communicate important updates or emergency information.
PARENT/GUARDIAN CONTACT INFORMATION
NAME*

First NameLast Name
DATE OF BIRTH*

MonthDayYear
Date
PHONE NUMBER OF PARENT/GUARDIAN*
Please enter a valid phone number.Format: (000) 000-0000.
EMAIL ADDRESS OF PARENT/GUARDIAN*
example@example.com
How did you hear about us?
123
STUDENT APPLICANT INFORMATION
- FULL NAME OF STUDENT #1*
  
  First NameLast Name
- DATE OF BIRTH*
  
  MonthDayYear
  Date
- SCHOOL
- GRADE*
- Kids WorkshopBeginners Class
- Does your child have any medical conditions, injuries, or allergies we should be aware of?
  If none, please write N/A.
- Does your child have any dance experience? If yes, please list down in detail:
- FULL NAME OF STUDENT #2*
  
  First NameLast Name
- DATE OF BIRTH*
  
  MonthDayYear
  Date
- SCHOOL
- GRADE*
- Kids WorkshopBeginners Class
- Does your child have any medical conditions, injuries, or allergies we should be aware of?
  If none, please write N/A.
- Does your child have any dance experience? If yes, please list down in detail:
- FULL NAME OF STUDENT #3*
  
  First NameLast Name
- DATE OF BIRTH*
  
  MonthDayYear
  Date
- SCHOOL
- GRADE*
- Kids WorkshopBeginners Class
- Does your child have any medical conditions, injuries, or allergies we should be aware of?
  If none, please write N/A.
- Does your child have any dance experience? If yes, please list down in detail:
- Media Release Agreement
- I grant Heroix Dance Co. / Project: Inspire permission to photograph and/or film my child during class for promotional, social media, and marketing purposes.
- Liability Agreement
- “I understand that participation in dance activities involves physical movement and inherent risks. I release and hold harmless Heroix Dance Co., Project: Inspire, its instructors, staff, and affiliates from any liability for injuries sustained during participation.”
- I agree to the terms above
- Parent Signature*
  
  Powered by Jotform SignClear
- Date*
  
  MonthDayYear
  Date
Should be Empty:

HEROIX JR. - Parent Sign-In Form

PARENT/GUARDIAN CONTACT INFORMATION

STUDENT APPLICANT INFORMATION

Media Release Agreement

Liability Agreement