Kids Fall 2019 Intake
Registration Contract for Kids & Youth Students in DF Dance Studio classes.

2978 South State Street #B SLC, UT 84115
Phone – (801) 466-0490
www.DFDanceStudio.com

Parents, please make sure to fill out this form COMPLETELY. We need all of this information in order to provide your child with the best dance experience possible.
Parent/Guardian Name *
Your answer
Cell Phone & Email Address *
Your answer
Child 1- First & Last Name *
Your answer
Child 1- Date of Birth *
MM
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DD
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YYYY
Child 1- Allergies or information that teacher may need to know *
Your answer
Child 1- Class/es you'd like to attend Fall 2019
Child 2- First & Last Name
Your answer
Child 2- Date of Birth
MM
/
DD
/
YYYY
Child 2- Allergies or information that teacher may need to know
Your answer
Child 2- Class/es attending Summer 2019
Child 2- Class/es attending Fall 2019
If you are registering more than two children please fill out paragraph below with 3rd Child's Name, Date Of Birth, any Allergies or information that teacher may need to know, and classes attending . Then do the same for any additional children.
Your answer
Waiver: You are agreeing to cooperate with all DF Dance Studio staff, instructors, and follow the instructions and rules in accordance with their directions. You are also informed that due to the nature of the activity, the possibility of injury does exist as with any athletic activity. You, hereby, release DF Dance Studio and all of its associates from any and all contracts, claims, suits, actions or liabilities for damages, injuries or loss of any kind resulting from any sort of participation at DF Dance Studio. This release shall be binding. Each student may decline to participate in any activity. Please inform instructor of any limitations you or your child may have. *
Required
In order to ensure productive and focused classes we ask that parents please don’t enter classrooms when instruction is in progress. You are welcome to observe your child through the windows inside of the studio.
DF Dance Studio will possibly take photographs/videotape of your child during their class for promotional and/or educational purposes (including publications, presentations or broadcast via newspaper, internet or other media sources). I hereby grant DF Dance Studio and its respective affiliates and licensees the right to use my child’s name, likeness, portrait, recorded voice and biographical material, in order to advertise, promote or publicize DF Dance studio and it’s affiliates.
CLASS ATTENDANCE: If you attend a class that is not paid for, your credit card on file will be charged the full cost of the class. No refund will be given for classes that you paid for but are unable to attend.I agree to abide by DF Dance Studio policies and understand the natural consequences of not obeying these policies will be removal from the class or studio. I assume full responsibility for all fees, dues and costume costs to DF Dance Studio. In the event that my dancer is dismissed or chooses to leave the studio, I am still responsible for any and all past due and current fees.
By checking here, I understand and agree to the contract terms and rules that are listed above.
Name of the person filling out the form *
Your answer
Comments? Questions?
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