Summer Session 6 weeks
We are so excited you are interested in enrolling your child in our Summer Session. These classes are being held only on Monday, Tuesday & Wednesday for 6 weeks. Dates (July 5th-August 11th) See the below image with classes for specific age groups. Your child will have loads of fun while exploring new dance styles, creating social skills, and igniting a love for dance. We are so exciting to meet you and your child! We need a bit of information from you in order to get your child signed up for our Summer Session. Please submit this form below and our Office Manager will contact you within 24 hours of submission to finish enrollment.

*Please fill out one per child/dancer.*
e-mail address *
Parents Full Name *
Childs Full Name *
Dancers Current Age *
Dancers D.O.B. *
Parents Cell Phone number *
How do you want to be contacted to finish up enrollment for summer. *
How did you hear about us. *
Waiver: I hereby authorize the staff of Dance Clinic and its associates to act on my behalf according to their best judgement in any emergency requiring medical attention and i hereby waive and release Dance Clinic and its associates from any and all liability for any injuries or illness incurred while attending classes at the studio or on studio premises. In addition, permission is granted for my child to be photographed/video recorded on Dance Clinics premises. Permission is also granted that any of these photographs or videos may be used as marketing material to promote the Dance Clinic business. *
An inherent risk of exposure to COVID-19 exists in any public place where people are present. I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by mere presence within this establishment and that such exposure may result in personal injury, illness, or even death. I understand that the risk of becoming exposed to or infected by COVID-19 may result from the actions, omissions, or negligence of myself , and others, including, but not limited to employees, volunteers, program participants, and their families, I hereby release Dance Clinic from any and all claims arising from or in connection with any direct COVID-19 impact. *
Please indicate any allergies / medical conditions or behaviors you feel we should be aware of as well as any other comments or questions you might have *
Which dance session are you interested in joining? *
Any questions for us?
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