Tiny Ballerina's May Session
6 Week Class for ages 2-5
Sign in to Google to save your progress. Learn more
Email *
Dancers Full Name *
Parents Name *
Phone Number *
Dancers Birthdate *
MM
/
DD
/
YYYY
Release Of Responsibility.     I the parent/guardian assume the responsibility should anything happen to my dancer during his or her participation with Dance Plus EP. I hereby release Dance Plus EP with respect to damage or injury that may occur by virtue of such participation. *
Media Release.      I, the parent/guardian understand Dance Plus EP will post photos on their Social Media Sites. Permission will be asked at the time if any photos should be used and/or reproduced of your child for use in promotional material such as advertisements, brochures, pamphlets and/or publications. Please note that no names will ever be used or posted. *
To Secure your spot please send $65.00 etransfer to danceplusep@gmail.com *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy