Summer 2024 Registration Form
Please fill our form completely.
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Email *
Child's Name *
Child's Date of Birth *
Child's Age *
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email *
Does your child have any allergies or medical conditions we should know about?
What camps will you be registering for this summer? *
Required
If registering for our 4 Week Dance Camp, please list class/es your child will be taking, including class name, class day and time.

Example: Tiny Tutus,Thursdays 6-6:45 pm

Studio B Dance Co. recognizes our obligation to make our students and their guardians aware of the risks and hazards involved in dance. By checking the box below, you release Studio B Dance Co. and all of its employees from all claims on account of any injury or illness which may be sustained by your child while attending dance class or any outside events associated with Studio B Dance Co. In signing this waiver, you also acknowledge your responsibility in paying for all summer dance tuition. Tuition is non-refundable.

How will you be paying?

Check payments should be made out to Studio B Dance Co. (318 1st Street, Liverpool, NY 13088), and be received within 7 days of submitting this registration form. 

Spot will not be held with out payment being made.
 *
A copy of your responses will be emailed to the address you provided.
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