Art in Motion Pittsburgh 2024 Registration Form
Welcome to Art in Motion Pittsburgh!

First and foremost, we want you to have fun! Please know that our studio is a safe space where you can be free to express yourself.

Dance is for everyone and every body and we try to embody that principle in every class. Our classes include warm-ups and cool downs, technique breakdown and drills, traveling moves across the floor, combinations, and at times, choreography.

We welcome questions to help you better understand a concept! By filling out this form you are taking the first step to making dance a joyous part of your life!  

Once we receive your registration, we will follow up with payment information, policies and general studio information.
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Email *
Student's Name (Last name, First Name) *
Student's Date of Birth *
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DD
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Guardian's name, if student is less than 18- (Last name, First Name)
Phone number *
Address
Which class(es) are you interested in? *
Required

Risk & Safety Liability (Please initial)

I/we understand that participation in dance classes and activities could involve some possible personal injury. Despite precautions, accidents and injuries may occur. By signing this release form, I/we (the dancer and parent/guardian) assume all risks related to participation at Art In Motion. I/we agree to release and hold harmless Art In Motion including its instructors, participants, staff, and facilities from any cause of action, claims, or demands now and in the future.

I/we will not hold Art In Motion liable for any personal injury, illness, or any personal property damage, which may occur on the premises before, during or after classes. 

I/we agree to obey the facility rules and take full responsibility for my/our behavior in addition to any damage I/we may cause to the facility.

In the event that I/we should observe or experience any unsafe conduct or conditions at Art In Motion, I/we agree to report the unsafe conduct or conditions to the owner, instructor, or staff member as soon as possible.

Media Release Consent
I/we understand classes at Art In Motion may be photographed and/or recorded for the purposes of learning, sharing, archiving, marketing, and advertisement. By signing this form, I/we consent to being filmed or photographed and provide permission to Art In Motion to use media for the purposes stated.
If I/we do not consent to the gathering or sharing of personal media by Art In Motion, I/we will inform the owner and staff at Art In Motion and take necessary precautions to avoid being photographed and/or filmed. 

Emergency Contact Information (Name, Phone Number please)
Any allergies, health information we should be aware of that may affect your classroom experience? (We will respect your privacy!)
How did you hear about us? Friend, website, google search, facebook ad, instagram, etc? (If by a friend, can you tell us their name so we can thank them?)
Any other questions for us?
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This form was created inside of Art in Motion Pittsburgh.