THE DANCE STEP 2022-2023 ENROLLMENT FORM
Ready to get started? Fill out our registration form below! Must register for autopay tuition due at the time of registration to ensure a spot in class.
Sign in to Google to save your progress. Learn more
Email *
Student Name *
Student Age *
Address *
City, State, Zip *
Home Phone *
Cell Phone *
Email Address *
Mother's Name *
Mother's Phone Number *
Father's Name *
Father's Phone Number *
Emergency Contact Name *
Emergency Contact Relationship *
Emergency Contact Phone *
Please list any known allergies and/or medical conditions: *
Please list all medications, dosage and frequency taken by your child *
Payments are due every 4 weeks via Auto Pay. There are no refunds, adjustments or prorating of tuition and fees. Tuition will be processed on the 15th of each month. No places will be held for classes without a card on file. *
Please read carefully. Your child will not be allowed to participate in classes until this release is filled out and received by the studio. The undersigned, being the parent or legal guardian of a minor (“the child”) acknowledges that they have registered the child to participate in a dance/exercise program with The Dance Step (“the studio”). The undersigned further acknowledges that they are aware of no medical conditions of the child which would impair the child’s ability to participate and or which would subject the child to personal injury or illness. In addition, as a term of the child’s participation on behalf of the child, I hereby voluntarily assume all risk of accident, injury, illness and or damage to the child or his or her property. Further, the undersigned hereby releases and discharges the studio, its employees, volunteers, owners and assigns from every claim, liability and or demand of any kind for or on account of any personal injury, illness and or damages of any kind sustained, regardless of the cause. Please confirm with your virtual typed signature. *
Please choose the classes you'd like to enroll your child in. (Classes are first come first serve for registration and place will not be held until a credit card is on file.) *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms