D4E Winter/Spring 2019 Registration
Please fill out this registration form for up to 5 dancers and up to 3 classes per dancer. Once your form has been processed (24-48 hours) you will receive an invoice for the deposit ($35) which is due on receipt. Full tuition may also be paid at this time. This is the final step needed to secure your class spot.

NEW Payment Option for 2019: We are offering a FREE payment service from Quickbooks. You can make a payment directly from your bank account. D4E will not have access or be able to see your bank account information. It is fast, easy and safe. Personal checks made out to Dancin' 4 Ever and cash will still be accepted.
How many dancers are you registering today? *
Parent/Contact Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email Address *
Your answer
Phone Number Contact 1 ( Mobile) *
Your answer
Phone Number Contact 2 ( Mobile)
Your answer
Emergency Contact (Different from Contact 1 & 2 above) *
Your answer
Emergency Contact Phone Number *
Your answer
Emergency Contact's Relationship to Student *
Your answer
Waiver of Liability *
My child is willing to adhere with the policies of Dancin' 4 Ever and I recognize that uncooperative or discourteous behavior may result in dismissal. I understand that dancing instruction is a physical activity with inherent risks. I will not hold Dancin' 4 Ever, it's faculty, employees or location responsible for any injury or illness sustained.
Required
Photo Release Form *
I ( parent/guardian/self(if over 18)) give my permission to the above named child (dancer) to use any videotape or photograph taken during practices, special appearances, dress rehearsals, shows and recitals in conjuction with publicity.
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