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CKDance Company Adult Highland Registration
Please read each field carefully and fill out all required elements. If you have any urgent questions, please email
ckdancefam@gmail.com
for assistance.
IF YOU HAVE MULTIPLE DANCERS YOU WILL NEED TO FILL OUT SEPARATE FORMS FOR EACH DANCER.
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* Indicates required question
Dancer Full Name (please fill out one form for each dancer you would like to register)
*
Your answer
Dancer Age
*
Your answer
Dancer Date of Birth
*
MM
/
DD
/
YYYY
Address
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Number
*
Your answer
Any allergies or health conditions?
*
Your answer
Any previous or existing physical injuries that would impact the dancer's ability to dance?
*
Your answer
Explain either any experience you have in highland dance, or what your goal is for this class (or both).
*
Your answer
Payment Selection
*
Emailed invoice for full semester to be paid by credit or debit.
Drop-in payment.
Do you give CKDance Company permission to take and/or use photographs and videos of your dancer for the purposes of CKDance Company promotional content on social media?
*
Yes
No
After you submit your registration you will be contacted with an initial invoice if you chose semester payment. See you soon!
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