DF Dance Kids Summer 2018 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 *
Your answer
Parent Email Address *
Your answer
Emergency Contact Name & Cell Phone Number ( Other than parent/guardian) *
Your answer
School District the children attend during school year *
Your answer
Child 1- First & Last Name *
Your answer
Child 1- Date of Birth *
MM
/
DD
/
YYYY
Child 1- Allergies or information that teacher may need to know *
Your answer
Child 1- Class/es you'd like to attend Summer 2018 *
Required
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
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
Kids Waiver: By checking the box below you are agreeing to cooperate with all DF Dance Studio staff and instructors and follow 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
Please read through information & check mark to agree. *
Required
Please read through information & check mark to agree. *
Required
Please read through the information & check mark to agree. *
Please read through information & check mark to agree. *
Name of the person filling out the form *
Your answer
Please Check Mark Below
Comments? Questions?
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