Class Registration 2021/22
New Creation Dance Kids Weekly Class Registration (September-May) for New & Returning Students
Sign in to Google to save your progress. Learn more
Email *
Student Information:
Student Name *
Student Age *
Student Birthday *
Student Dance Experience *
Student Allergies/Medical Issues We Should Be Aware of *
Contact Information:
Parent/Guardian Name (if under 18) *
Contact Email Address *
Please provide the email address you would like to receive important communications about classes throughout the year.
Contact Phone Number *
Back-up Emergency Contact Name & Phone Number *
Mailing Address *
Class sizes are limited and offered based on enrollment. Students may be split into groups by age/level based on size of class and teacher discretion.
Class Selection *
I give New Creation Dance Company and its members permission to take pictures/videos of myself/my dependent during New Creation dance activities (including dance classes, workshops, fundraisers, rehearsals, and performances), and also to use those pictures/videos for promotional purposes on their website, social media pages, fliers, or for any other form of advertising in the future. (Dancers will not be identified by name in any corresponding caption)
Clear selection
I understand that dancing has associated risks, including that of physical injury. I therefore agree to assume all such risks, and exempt, release, and indemnify New Creation Dance Company and its members from any liability loss or injury to me/my dependent or my (dependent’s) personal property which may occur due to any cause in relation to participation in New Creation activities (including dance classes, workshops, fundraisers, rehearsals, and performances). *
Agreement required for class registration.
Name (Parent/Guardian Name if under 18) *
Please check below indicating you have read and agree to the Class, COVID-19, & Payment Policies. (Please contact us if any questions at *
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy