Moving With Delight: Class Registration
After completing this form you will receive a confirmation email with an invoice for you to process your payment. Classes are held twice a month in-person . Contact information will not be shared with any other parties outside of Dancing With Delight LLC.

*Bobby Dodd Institute Registered Vendor*- Apply for funding opportunities  https://bobbydodd.org/ 

Contact us for more information : (404) 585-1218  dancingwithdelight@gmail.com 
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Name  *
Parent/Caregiver Name & Contact   *
Address *
Contact Number *
Tuition/Prices *
All classes are private lessons with a range of 1-3 students. Each session is 45 minutes. 
Required
Select Payment Option Below *
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Promo Code (if applicable)
Before payment, I understand that I will receive an official invoice and email with further instructions. *
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Type of Disability  *
Required
Please indicate all special accommodations required below. 
(Ex. Asthma Pump, Frequent Restroom Breaks, 24/7 Caregiver Assistance)

Media Release / Liability Release

*

Upon your enrollment or participation (adult or child) in any DWD class, workshop or function, it is understood that DWD is granted permission to display any images of you or your child in photos, images on website, videos, posters or ads featuring your student. Also, your enrollment confirms and acknowledges that no liability is assumed by DWD for accidents or injuries caused by acts of any person(s) on the premises in the capacity of student, account holder, parent, guardian, or guest. 

*Do you agree with these terms?

*If you agree to these terms please type your electronic signature below. 
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I would like to subscribe to Dancing With Delight LLC Mailing List for upcoming events,promotions, and announcements. *
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