Registration Form

Student's Name*

School / Location*

Student's Date of Birth*

Parent(s) Name(s)*

Email Addresses*

Phone Number(s)*

Address*

Classes Enrolling In*

Does ABC Dance Arts have permission to use your child's photos on marketing materials?*

Does ABC Dance Arts have permission to provide treats to your child on special occasions? Please list any allergies.*

Message to ABC Dance:

Liability Waiver: I understand that any program involving movement and motion can result in physical injury. I give permission for my child to participate in ABC Dance Classes. [Type Name Below]*

* Indicates required fields