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Adult Class Registration
Please fill out this form select your desired below. Payment information will be sent after this form is received.
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Name
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Your answer
Date of Birth
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Email
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Your answer
Phone Number
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Your answer
Select class for enrollment
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Dance Fit TUESDAY 4:00-5:00pm (May 7 - May 28)
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Please indicate any medical conditions we should be aware of
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In case of emergency, please contact the following person/people (please include name, relationship, phone number)
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Your answer
I give The Complex permission to seek medical attention in case of emergency. I will not hold the studio responsible for injury or virus or for any medical attention sought for said emergency.
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Yes
I understand I will receive an emailed invoice to pay the tuition for this class. Tuition must be paid before first class.
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Yes
Please type your name here as your electronic signature agreeing to the contract above.
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How did you hear about us?
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