2018/2019 Registration, Waiver & Agreement
Welcome to Ashland Danceworks! We are going paperless, so all dancers, new, returning and drop-in, must fill out this form to take any classes at Ashland Danceworks, including drop-in classes. We will give the option for a second dancer on this form so you only have to fill out one form per family.
First Dancer Full Name *
Your answer
First Dancer Birthday *
Your answer
First Dancer mobile number (if applicable)
Your answer
Second Dancer Full Name (if applicable)
Your answer
Second Dancer Birthday (if applicable)
Your answer
Second Dancer mobile number (if applicable)
Your answer
Are there any allergies we should know about for all who are participating in dance classes?
Your answer
Residential Address *
Your answer
City, State & Zip *
Your answer
First Parent or Guardian Full Name *
Your answer
First Parent or Guardian Mobile *
Your answer
First Parent or Guardian Email *
Your answer
Second Parent or Guardian Full Name
Your answer
Second Parent or Guardian Mobile
Your answer
Second Parent or Guardian Email
Your answer
Emergency Contact Person *
Your answer
Emergency Contact Person's Phone *
Your answer
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