Pentangle Creative Dance March 2020
Hello!

Thank you so much for your interest in Pentangle's Spring Creative Dance Program. I cannot wait to come back after a THREE YEAR HIATUS, and witness the amazing creativity and drive of the dancers! 

Below you will find the registration form. Any fields you cannot fill, please write n/a. You should receive an email confirmation and copy of your responses. If you do not, please email movement@pentanglearts.org to confirm your registration.

Cash, checks, and credit cards are accepted.  Go to https://pentangle-arts.square.site/product/after-school-dance/106 to complete purchase online. Please call the office (802) 457-3981 with any payment questions. You may also email director@pentanglearts.org.

Please return to the Pentangle site  https://pentanglearts.org/event/after-school-dance/2020-03-16/#content for more information.

Please bring:
comfortable clothes (layers),
snack,
water bottle,
notebook,
writing utensil.

Please email movement@pentanglearts.org if you have any questions about the Creative Dance Program or registration form. I am always happy to answer any questions.

Looking forward to speaking with you soon!

Best,
Maddie
Sign in to Google to save your progress. Learn more
Email *
Did someone refer you? Who?
Your name *
Relationship to child(ren) *
Address *
Home Phone *
Cell Phone *
Work Phone *
Best way to contact you. *
Required
Please list an additional emergency contact. *
Emergency contact phone number *
Emergency contact relationship to child(ren) *
Child's name (a) *
Child's age and grade (a) *
Child's t-shirt size  (a) *
Child's allergies (a) *
Child's previous dance experience (if any) (a) *
Child's name (b)
Child's age and grade (b)
Child's t-shirt size  (b)
Child's allergies (b)
Child's previous dance experience (if any) (b)
HEATH AND SAFETY RELEASE: The undersigned parent or responsible guardian understands that the classroom, rehearsal and performance of dance requires moderate physical activity and accepts full responsibility for the student listed above being in an adequate state of health and physical fitness for such activity. The undersigned consents to the participation in dance classes, rehearsals, and performance and agrees to hold Pentangle Arts, the 2020 After School DanceCamp, and Madeline Warriner harmless for any injury or damages which occur during or as a result of participating in any class, rehearsal, performance or related activity. PARENT/GUARDIAN Signature (please type your name) *
HEALTH AND SAFETY RELEASE Signature date *
MM
/
DD
/
YYYY
PHOTO RELEASE: I give my permission to Pentangle Arts to use any photographs taken of my child during the 2020 After School Dance Camp for promotional, fundraising, or educational purposes. PARENT/GUARDIAN Signature (please type your name)
PHOTO RELEASE Signature date
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms