Guiding Steps Registration Form

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Guiding Steps Registration Form

For any questions or concerns, or to reserve a private, please email jbrownguidingsteps@gmail.com.

Thank you.

Student Full Name *

Student Date of Birth *

YYYY

Parent/Guardian Full Name *

Email *

Phone *

2024 Schedule (Multiple Choice Optional) *

Formal 1 (Tuesday 4:30-5:30PM) (Ballet/Tap)

Formal 2-B (Tuesday 6:30-7:30PM) (Ballet & Tap)

KinderDance (Wednesday 4:15-5:00PM) (Ballet/Tap - ages 3-5 years accepted)

Mini Acro & Jazz (Thursday 4:15-5:00PM) (Ages 3-6 Accepted)

Kidz HipHop (Friday 5:00-6:00PM)

KinderDance (Saturday 10:15-11:00AM) (Ballet/Tap - ages 3-5 accepted)

Required

Address:

Emergency Contact (Name/Phone/Email) *

Known Allergies: *

None

Other:

Is student currently taking medications? *

Yes

Other:

Please check 'Yes' if you give Glens Falls Guiding Steps Permission to use your child's photo/image for website and/or other promotions. *

Yes

Please check that you understand that dance is a sport with a risk of injury, and that you agree that you or your child participate at your own risk, and Glens Falls Guiding Steps is not liable for any potential injury or medical emergency that you or your child may experience. You also agree that you or your child are in good health and your doctor has not advised you or your child against partaking in dance. *

Yes, I understand and agree.

No, I do not understand nor agree.

Required

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