Fall 2021-2022 Registration
Classes will start the week after Labor Day Weekend.
Sign in to Google
to save your progress.
** Attention** Please fill out a registration form for each dancer that is being enrolled. Steps to register 1. Fill our form 2. Txt Jazzy at 435-823-3830 with child's names and class they are wanting. 3. Pay your registration fee $20 ($60 max per family) and their Production fee $50 each dancer for the polar express performance includes costume rental, tights and leo for students to keep. Please Venmo SpotOn-DanceStudio with dancers name! Dancers Spot will not be saved until this is paid. ** If your wanting a dance/tumble combo you must also register through www.tumblingconnection.org
Name of Dancer
Age of Dancer
Birthday of dancer
Name of Parent
Monthly Payments ( payment due by 20th of each month or $25 late fee is applied)
check/cash ( if check balances there will be a $25 overdraft fee due with payment)
Card on file ( payment will be drawn automatically on the 20th of each month)
Pay in full for years tuition ( 10% discount)
Monthly payment made by Venmo (@SpotOn-DanceStudio)
Class (Add on any dance class for $20 a month)
Mommy & Me 1.5-2 yr
Rec Jazz Class
Rec Hiphop Class
Release and Authorization Indicated in the space below are any health problems or conditions of which the studio should be aware (such as heart, back, medical, allergy, muscular, pregnancy, diabetes, epilepsy, chemical or neurological condition, special medication, knee/kidney/shoulder problems, etc.). I understand that risk of injury is inherent in any physical activity and I, on behalf of myself and my child, knowingly and voluntarily accept that risk. I, the undersigned, for myself, my heirs, administrators, and executors, hereby waive and release Spot On Dance Studio and its staff from any and all claims or damages of any kind arising out of my child’s participation in the dance program of Spot On Dance Studio. I further certify that the aforementioned student is in proper physical condition to participate in the dance program and that he/she has been examined by a licensed physician and found to be in proper physical condition to participate in said program. I, the undersigned, do hereby authorize Jazlyn Hyder or her designated agents (being teachers or administrators employed by Spot On Dance Studio) to obtain medical treatment for my said child in emergency situations where I cannot be reached in time to authorize the treating physician to provide such emergency medical services. I understand that I am responsible for any medical expenses and that the absence of health insurance does not make Spot On Dance Studio responsible for payment of medical expenses. This authority includes the power to authorize any and all treatment deemed necessary under the circumstances by a licensed physician. This power is in essence a power of attorney and shall remain in effect for one year from the date signed below. I am electing for my child to participate in the Classes at Spot On Dance Studio. I understand that Spot On Studio has been approved by the Tri-County Health Department to operate these classes. I have been informed of all the "Best Practice Implementation" guidelines that Spot On Dance Studio will be strictly enforcing and expecting all participants to adhere to. I understand and acknowledge that despite Spot On Dance Studio doing everything in their power to maintain a clean and healthy environment, there is still an inherent risk for my child to be exposed to COVID 19 by participating in the classes at Spot On Dance Studio and convent to participating at my own risk.
By checking this box I understand and abide by these releases and authorizations for my dancer.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service