Steppin' Out II Registration Jan-June 2021
Start Date: January 4th
Studio Address: 200 Center St., Suite 5, Ludlow, MA
Contact us: call (413) 589-7751, text 413-308-0508, or email
Payments can be made at
Dancer Name *
Age *
Street Address *
Zip Code (5 digit) *
New Address *
Email *
New Email? *
Phone Number *
New Phone? *
Studio newsletters will be sent via email. For other non-emergency situations, the Studio's preferred contact method is text. Please indicate if you'd prefer a DIFFERENT contact method.
Years of Dance Experience/Location (new students only)
Class Choices (check all that apply) *
Solo/Duet/Trio - please enter style and other dancers (for duet/trio)
I must pay the $10 registration fee online or by mail to hold my dancer's place in class. *
I understand that costume deposits will be $25 per costume. Due date January 29. *
I understand that placing a deposit on a costume is an agreement that I will pay the balance for said costume when due February 26. *
Release of Liability: In the consideration of the dance lessons afforded to me by Steppin' Out II Dance studio and the recognition of the physical demands of dancing, I hereby knowingly agree to waive any right or cause of action of any kind as result of such activity from which liability may or could accrue to Steppin' Out II or its agents. *
Parent(s) Name (First and Last) *
By entering your initials in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge. *
Do you have any scheduling requests?
Additional Information:
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