Registration Form 2022-2023
To register, submit this form and return payment using one of the following payment options:
1) Cash or check made payable to Love of Dance Studio to 430 Springfield Avenue Lower Level Suite 3 Berkeley Heights, NJ 07922.
2) Venmo to loveofdancestudio (please do not select for a goods or service)
3) Zelle to loveofdancestudionj@gmail.com
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Email *
Student's First and Last Name *
Age *
Birth Date *
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2nd Student's First and Last Name
2nd Student's Age
2nd Student's Birth Date
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DD
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YYYY
3rd Student's Name
3rd Student's Age
3rd Student's Birth Date
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DD
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YYYY
Address *
City *
Zip Code *
Phone Number *
Parent/Guardian's Name *
By signing below I understand that Love Dance Studio is not responsible for injuries while in class or on the premises.
Love of Dance Studio is not liable for any personal injuries or any personal property damage/loss, which may occur on the premises before, during or after classes. Please check the box in order to provide consent.
 *
Required
Throughout the school year, students may be highlighted in efforts to promote Love of Dance Studio. No full names of students are ever to be used on the Internet in conjunction with pictures. This form authorizes the use of children’s likeness during dance class, competitions, performances, etc. Please check the box in order to provide consent.
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