Dance Registration Form 2016-2017
Parent(s) name:
Your answer
Name of child/children and ages:
Your answer
Phone number:
Please include home, cell, and/or work for any way to reach you.
Your answer
Email:
Your answer
Receive updates through:
Check which you prefer
Required
Child’s Sizing for Jazz & Ballet: Leotard
Second Child’s Sizing for Jazz/Contemporary: Leotard
Child’s Sizing for Hip hop: Shirt
Second Child’s Sizing for Hip hop: Shirt
Please check all that apply:
Required
If you have more than one child, please list which do and don't want to participate in the recital.
Only applies to families with two or more siblings with mixed reactions to the recital. If everyone is in agreement, proceed to next question.
Your answer
Please Check which applies
Who will be picking your child up? I need to know who is allowed so that your child is protected and doesn’t go home with someone you haven’t authorized. Be specific please! For example: Siblings, spouses, grandparents. If you are divorced, I need to know that it’s ok for the other parent to pick your child/children.
Please put their name and phone numbers
Your answer
Does your child have any health concerns that I need to be aware of?
Things like allergies (food for recitals), asthma, medications they are on, etc
Your answer
I acknowledge that in addition to this registration form that I need to sign the authorization form in order for my child/children to attend the dance classes.
Required
I allow my child/children stated above to participate in The Dancin' Hall's dance classes. Please type name as a consent and to be used as electronic signature.
Your answer
Date for electronic signature for participation in The Dancin' Hall's dance classes.
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms