Toddler Play Date Registration Form
Tuesday's From 1:30 - 2:30 PM

Location: 382 North Forest Avenue, Hartwell, GA 30643 - In the New Gym behind the Dance Studio

Contact Info:
Suzanne Krause  404-597-6680 (Cell)  706-376-2579 (Studio)
Hotshotsdance@gmail.com

Only one registration form is required per student.
You do not have to fill out the form each time you come to class.
After your fist class, just sign in at the Gym when you arrive.

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It’s never too early for your little one to start learning, while having fun. From 12 months to 5 years, our Parent and Child class promotes early development and provides a strong foundation, and the best part is that you will be right there to celebrate every discovery.  We’ll explore new physical challenges every week through teacher-led activities, with a focus on different ways to use each piece of our equipment.  Crawl through tunnels, explore different textures, slide down slides and toddle over bridges. We’ll also practice social skills and memory building through sing-alongs and group-play.  Get quality time with your little one and give them the space they need to practice their new-found skills while helping your child build confidence and feel comfortable in unknown places.
Cost is $35 for 4 Weeks - payable in advance or $12 Per Class for a single class.  Please check your preference below and you will be contacted for payment options.
Class Payment Plan *
HSDC holds classes according to the Hart County School Calendar.  When School is closed for breaks, HSDC will also be closed.  Registration is only required one time.  We would appreciate knowing if, at any time, you no longer plan to continue with Toddler Play Date.
Please enter below the date you plan to start classes.  
Please enter the date you plan to start this class. *
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Student Name *
Student Date of Birth *
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Student Age *
Parent Name *
Address *
Emergency Contact Name and Phone *
Physical Restrictions - Allergies *
Parent Waiver *
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Parent Waiver, Tuition & Photo Release: By signing this release form, I/we (the student and parent/guardian) assume all risks related to the participation in the classes/camps of Hot Shots Dance Company, LLC dba Hot Shots Dance & Cheer. I understand that I am enrolling my child in a program of physical activity and have agreed that my student is in good physical condition. I/we agree to release and hold harmless Hot Shots Dance Company, LLC dba Hot Shots Dance & Cheer, including its teachers, dancers, coaches, staff members, and facilities used, from any cause of action, claims, or demands now and in the future. I/we will not hold Hot Shots Dance Company, LLC or Hot Shots Dance & Cheer liable for any personal injury or any personal property damage, which may occur on the premises before, during or after classes. Furthermore, I/we agree to obey the class and facility rules and take full responsibility for my/our behavior. I understand that Hot Shots Dance Company, LLC is a licensed, accredited and insured organization. In the event that I/we should observe any unsafe conduct or conditions before, during or after my/our classes, I/we agree to report the unsafe conduct or conditions to the Executive Director, Artistic Director, instructor or staff member as soon as possible. Unless otherwise notified in writing by the parent, Hot Shots Dance Company, LLC has permission to use class photographs in print and/or online advertising.  Liability Waiver and Release On behalf of myself and my children, I understand that there are risks associated with, arising out of and inherent to the activities provided through Hot Shots Dance Company, LLC dba Hot Shots Dance & Cheer. In recognition of this acknowledged risk, I knowingly and voluntarily waive all right and/ or causes of action of any kind, including any and all claims of negligence arising as a result of such activity from which liability could accrue to Hot Shots Dance Company, LLC dba Hot Shots Dance & Cheer, it’s officers, agents, employees, instructors, subsidiaries, parent corporations, and all affiliated entities (hereinafter collectively referred to as “Hot Shots Dance Company”.) I hereby agree to release Hot Shots Dance Company and hold Hot Shots Dance Company harmless of all liability, and hereby acknowledge that I knowingly and voluntarily assume full responsibility for all risks arising out of active participation in classes, performances and activities and travel through Hot Shots Dance Company on behalf of myself, the legal guardian, and the participant/s. I am aware that this is a release of liability and an acknowledgement of my voluntary and knowing assumption of the associated risks. I have signed this document voluntarily and of my own free will in exchange for the privilege of participation.I also give Hot Shots Dance Company permission to use my child’s picture in or on any form of advertisement or publication on behalf of Hot Shots Dance Company, LLC dba Hot Shots Dance & Cheer or any Hot Shots Dance Company affiliated event. (Please notify us in writing if pictures cannot be publicly displayed for any reason). The participants for whom I am registering have my permission to participate in all Hot Shots Dance Company classes, performances, activities and travel. I warrant the information is complete and correct and that I do have the authority to act and speak on behalf of the participants I enroll in classes at Hot Shots Dance Company. I further release Hot Shots Dance Company of all liabilities associated with my childrens attendance at Hot Shots Dance Company.
SOCIAL MEDIA POLICY
Any comments or posts perceived to be obscene, defamatory, threatening, harassing, discriminatory or hateful towards HSDC staff, students or families may subject the owner to disciplinary or legal action. Any content revealing or referring to sensitive studio information is not allowed to be shared online. Students and Parents/Guardians are not allowed to represent HSDC or the owner/director in any private social media groups or networking sites. Students and Parents/Guardians are encouraged to participate on any official HSDC social media or networking site that is started by the studio owner of HSDC. Remember, respect and kindness are expected at all times. If there is any commentary deemed to be disrespectful or inappropriate by the owner of HSDC, it may lead to probation, suspension and/or expulsion.
PARENT / GUARDIAN WAIVER FOR MINORS  The undersigned parent and natural guardian does hereby represent that he/she is, in fact, acting in such capacity, has consented to his/her child or ward’s participation in the activity or event, and has agreed individually and on behalf of the child or ward, to the terms of the accident waiver and release of liability set forth above. The undersigned parent or guardian further agrees to save and hold harmless and indemnify each and all of the parties referred to above from all liability, loss, cost, claim, or damage whatsoever which may be imposed upon said parties because of any defect in or lack of such capacity to so act and release said parties on behalf of the minor, the parents, of the legal guardian. BY REGISTERING AND PAYING FOR ANY CLASS, EVENT, PRIVATE LESSON, OR OTHER ACTIVITY, YOU ARE AGREEING TO ALL OF THE ABOVE CONDITIONS AND WAIVERS. PLEASE DO NOT HAVE YOUR CHILD PARTICIPATE IN ANY CLASS OR EVENT UNLESS YOU ACCEPT AND AGREE TO ALL OF THE TERMS IN THIS AGREEMENT.
A copy of your responses will be emailed to the address you provided.
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