2020-2021 Dance Registration Form
Please fill out one form per dancer. We will contact you once this form is received for schedule confirmation and payment.
(Dancer) First and Last Name *
(Dancer) Date of Birth *
MM
/
DD
/
YYYY
(Parent) First and Last Name *
(Parent) Phone Number *
(Parent) Email *
Home Address *
How will your dancer attend class(es)? *
Tuition - How many dance classes per week? *
Schedule - Please list ALL dance classes below (DAY/CLASS/TIME): *
The annual registration fee of $30 is due at the time of registration. *
Tuition Discounts *
Is your dancer a member of one of our dance teams? *
Recitals - Which one(s) will your dancer participate in? *
TUITION POLICY: *
Required
STUDIO POLICIES: *
Required
LIABILITY RELEASE: IN CONSIDERATION OF RECEIVING DANCE INSTRUCTION INCLUDING SPECIAL CLASSES IN ACRO, HIP-HOP, CONTEMPORARY, ETC…. AND OTHER GOOD AND VALUABLE CONSIDERATION, HEREBY RELEASE AND FOREVER DISCHARGE THE SAID EVOLVE DANCE AND FITNESS LLC (CHEZARAY WADE AND ALL OTHER INSTRUCTORS) THEIR ASSISTANTS, AGENTS, EMPLOYEES AND THEIR FAMILIES, OF ANY AND ALL CLAIMS FOR DAMAGE OR DAMAGES OF ANY KIND, NATURE OR DESCRIPTION; MORE PARTICULARLY WHICH MAY GROW OUT OF RECEIVING DANCE INSTRUCTION OR PARTICIPATION IN DANCE CLASSES OR OTHER PHYSICAL EXERCISE OR MOVEMENT. YOU MUST FURTHER RELEASE EVOLVE DANCE AND FITNESS LLC (CHEZARAY WADE AND ALL OTHER INSTRUCTORS) FROM ANY AND ALL DEMANDS, CLAIMS, CAUSES OF ACTION, SUITS OR LIABILITES WHATSOEVER, OF EVERY NAME AND NATURE, BOTH IN LAW OR IN EQUITY; ESPECIALLY ON ACCOUNT OF PARTICIPATION IN CLASSES TAKEN AT EVOLVE DANCE AND FITNESS LLC IN ACCORDANCE WITH ARIZONA LAW. *
Required
Parent Signature *
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