Registration / Release Form 2021
Please complete the online registration/release form for our Sheffield Summer Series 2021.

Join us for an EXCITING line-up of classes from the Sheffield faculty in Ballet, Jazz, Contemporary and Hip Hop. Multiple ages/levels welcome!

July 26-29 / August 2-5
2 Week Program
2 Locations - West Mobile & Eastern Shore

Payment DUE BY Monday, July 19
*Cash
*Checks - payable to Sheffield School of the Dance
*Auto Draft - current enrolled students ONLY (drafted from card on file - Monday, July 19)

Early Bird Tuition: paid by June 10
PeeWee (ages 5-7): $85.00
Mini/Junior (ages 8-12): $185.00
Teen/Senior (ages 13-19): $185.00

Full Tuition: paid after June 10
PeeWee (ages 5-7): $95.00
Mini/Junior (ages 8-12): $200.00
Teen/Senior (ages 13-19): $200.00

IMPORTANT:
No student will be permitted to participate in Summer Series classes with Sheffield School of the Dance without a signed release form on file.

We look forward to dancing with you!
Name of Student *
Age *
Date of Birth *
MM
/
DD
/
YYYY
Please Select Appropriate Dancer Age/Level *
Parent/Guardian Name *
Contact Phone Number *
Email Address *
Location of Attendance *
Please Choose One of the Following *
Select Form of Payment - DEADLINE Monday, July 19 *
RELEASE FORM: I hereby acknowledge full responsibility for all risks of physical injury arising out of active participation in a dance class and release Sheffield School of the Dance, its instructors, staff and all associates from liability. I give full permission for Sheffield School of the Dance to use photos and/or video of my student for advertising and promotional purposes on the studio website and social media platforms (including but not limited to Facebook and Instagram). At Sheffield School of the Dance, we are following social distancing and rigorous cleaning protocols. I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I and/or my student may be exposed to or infected by COVID-19 by attending and participating. I release Sheffield School of the Dance, its instructors, staff and all associates from liability if I and/or my student contracts COVID-19 despite our best efforts to prevent it. Additionally, I agree to notify Sheffield School of the Dance if my student and/or any member of our household contracts COVID-19 or has come into contact with someone who tested positive for COVID-19. By selecting “I agree”, you are signing on your own accord and behalf of your student. You agree to waive any claims of liability against Sheffield School of the Dance. I understand all terms and conditions pertaining to studio policies and health/safety guidelines. ***No student will be permitted to participate in Summer Series classes with Sheffield School of the Dance without a signed release form on file. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy