KIO Dance Studio On-line Enrollment form 2017-2018
Sign up for Dance classes for the 2017-2018 Season. Once submitted the Student(s) must submit a signed tuition agreement, signed Release of Waiver of liabilities, and a signed copy of the Guidelines and policies. You will need to come into the office to fill in these forms and drop off the registration fee and first month tuition payment to ensure your spot in classes by Sept. 1st. Or print off forms and drop in the mail, and it must be postmarked before set dates in order to receive any special prices.
Student Name (1)
Your answer
Student Name (2)
Your answer
Student Name (3)
Your answer
Student Age (1)
Your answer
Student Age (2)
Your answer
Student Age (3)
Your answer
Parent 1/Guardian Name
Your answer
Parent 1 Cell Phone
Your answer
Parent 1 Home Phone
Your answer
Parent 1 E-mail Address
Your answer
Parent 2/Guardian Name
Your answer
Parent 2 Cell Phone
Your answer
Parent 2 Home Phone
Your answer
Parent 2 E-mail Address
Your answer
Mailing Address
Your answer
Additional Emergency Contact Name
Your answer
Phone Number
Your answer
Relationship
Your answer
Student's School (s)
Your answer
Request for Separate Parent information
Competitive/Non Competitive (Recreational)
How did you find out about Kick It Out?
Student 1 - Class choices
Your answer
Student 2 - Class choices
Your answer
Student 3 - Class choices
Your answer
Payment Options - Choose One
Choose Applicable discount that may apply to your student
Referral name(s)
Your answer
On-line signature
Your answer
Submit
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