Studio 31 Dance Company Registration 2024-2025

Studio 31 Dance Company Registration 2024-2025
Dancers name*
Street Address*
City State Zip
Age*
DOB*
Parent Guardians Name*
(Cell)*
Email*
example@example.com
Registration Fee:

$50.00

Competitive Team(s):

$150 per dancer ages 5 & up

$70 per dancer ages 4 & under
Competitive Yes/ No*
Recreational dance:

$50 monthly per dancer for once a week ages 4& under

$75 monthly per dancer for once a week ages 5& older

$100 monthly per dancer for twice a week ages 5& older
Recreational Yes/ No
Does your dancer have any medical problems? *
If yes please describe
Do you have any allergies (food, seasonal, other)?

Yes/ No
If yes please describe
Emergency Contact Name Relation*
Contacts Number*
Summer camps if attending please list
Ihereby release Studio 31 Dance Company, Employee's from all liability for personal injury, illness or property damage occurring on or off the Studio's premises. I have read Studio 31 Dance Company's Policies and general information as outlined. I certify that my dancer is in good health and capable of participating in physical activities. I hereby given permission to Studio 31 Dance Company to take and use photographs for promotional use for the studio.
Parent Signature*

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Date

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Date
Dancers Signature (if of age to sign) *

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Date
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