2019/2020 Registration, Waiver & Agreement

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Welcome to Ashland Danceworks! We are going paperless, so all dancers, new, returning and drop-in, must fill out this form to take any classes at Ashland Danceworks, including drop-in classes. We will give the option for a second dancer on this form so you only have to fill out one form per family.

Email *

First Dancer Full Name *

First Dancer Birthday *

First Dancer mobile number (if applicable)

Second Dancer Full Name (if applicable)

Second Dancer Birthday (if applicable)

Second Dancer mobile number (if applicable)

Are there any allergies we should know about for all who are participating in dance classes?

Residential Address *

City, State & Zip *

First Parent or Guardian Full Name *

First Parent or Guardian Mobile *

First Parent or Guardian Email *

Second Parent or Guardian Full Name

Second Parent or Guardian Mobile

Second Parent or Guardian Email

Emergency Contact Person *

Emergency Contact Person's Phone *

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