TU LEFT FEET SUMMER 20TUTU ENROLLMENT FORM
CLASSES RUN  [  JUNE  20  -  AUGUST 1  ]
Makeup any missed class in an age appropriate class that fits your schedule.
$50 OFF Each Additional Class
NO CLASS [ JULY 4 ] Closed for 4th of July
Sign in to Google to save your progress. Learn more
Email *
Please select the class / classes you would like to register for: *
Required
Student's 1st Name *
Student's Last Name *
Student's Age *
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's Grade Level ( 2022-2023 ) *
Email Address *
important updates, information, and receipts will be sent to this address
Parent or Guardian's Cell Phone *
emergency contact
Parent or Guardian's Name *
emergency contact
Alternate Emergency Contact Information *
who do we contact if we can not reach the emergency contact listed above?
Release of Claims and Treatment Authorization *
I am aware that dance, cheer, gymnastic and any physical exercise associated with it, place unusual stress on the body and carry with them the risk of physical injury.  On behalf of my child and/or myself, I assume this risk and agree that  Tu Left Feet, LLC and its staff shall not be liable in anyway for the injuries sustained during attendance at the studio, located at 13110 Midlothian Turnpike, Midlothian, VA 23113 or any of its away  functions.  I grant my child/myself permission to participate in the 2022 season; and  I release and discharge any claims, demands, actions, judgments, and executions to which the students, heirs, executors, administrators or assigns may have, or may claim to have against Tu Left Feet, LLC, its successors, its assigns for all personal injuries caused by, or from the above activities or any activities related.  Further, I grant, Tu Left Feet, LLC and its employees permission to authorize any emergency medical treatment that may be required during the 2022 dance season.
Photography Release *
I, the parent/guardian (or student, if 18+) authorize Tu Left Feet, LLC and/or its representatives, agents, or staff to use any photographs of my child (or myself), for any purpose, including publicity, choreographic archives, promotional materials and/or any other reason deemed appropriate by the artistic staff or marketing director.
Previous Experience
Length / Location / Level of Previous Experience
this will help us determine the appropriate level and class for your child
Allergies, Previous Injuries, Illnesses, etc.
Sibling Registered @ Tu Left Feet
(if "yes" please provide sibling's 1st + last name in the "other" box)
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy