Little Lights Dance Registration Fall 2019
This form is for dancers who are participating in our traveling preschool program at Little Lights in Clemson. If you have any questions, please reach out to us at 864-506-1852 or Can't wait to dance with you!

*Please fill out one form per dancer. If you have siblings, please contact us for information on our sibling discount.
Dancer's Name *
Your answer
Dancer's DOB *
Dancer's Address (Street Address, City, State, Zip Code) *
Your answer
Parent/Guardian's Name(s) *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
If you danced last year with Elevation, do your Ballet shoes fit from last year? *
Name on Facebook *
We have a Facebook group for Little Lights Families who are dancing with us this season. We would love to add you to easily be able to share photos and videos and let you see what we are learning each week! You will need to be friends with Kahli Zeigler to be entered into the group.
Your answer
Would you like to add the Tumble Tots class for an extra $22/month? *
Are there any medical conditions/allergies that we should be aware of? *
Your answer
I understand that the monthly tuition fee includes Christmas t-shirt and Christmas recital costume. This fee does not include registration fee, shoes (if needed), dance wear, or tickets to the Christmas recital, or any other items. *
I understand monthly tuition is due in full at the beginning of each month. I understand that I must pay tuition, via automatic bank draft, before deadlines. I understand that we may not participate in the program without payment. *
I understand that there is a registration fee of $25/dancer, or $40/family in order to participate. *
By accepting this waiver I hereby waive and release, indemnify, hold harmless The Elevation Dance Company LLC and it's owners, teachers, and employees, directors, choreographers, from any and all claims, demands, debts, contracts, expenses, causes of action, lawsuits, damages, and liabilities of every kind and nature, whether known or unknown, in law or equality, and I ever had or may have, arising from or in any way related to my participation in any of the classes, events, or activities conducted by, on the premises of, or for the benefit of The Elevation Dance Company LLC. By this waiver I assume any risk, and take full responsibility and waive any claims of personal injury or damage to personal property associated with The Elevation Dance Company LLC including, but not limited to using the facility and it's equipment in any manner, form, or fashion, and practicing or participating in classes, events, or other related activities on or off the premises. I understand that by registering, I give Elevation Dance Company LLC the right to use my child’s likeness for social media/advertising purposes. *
Do you have any other questions or concerns? We will get back to these ASAP! *
Your answer
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