2017-2018 Bring a Friend, WILD Card &Discover Dance Days
This form must be filled out completely by the parent/guardian of the student participating. By filling out this form you are releasing Dance It Up with music and it's staff from any and all injuries that may be sustained during any event or class hosted by Dance It Up with Music. In order for your child to participate this form must be completed prior to participation. This form does not in any way register you in classes at Dance It Up with Music.

Classes are listed in age order:). Please select from the following below!

Participants Full Name *
Your answer
Parent/Guardian Full Name of Participant *
Your answer
Parent/Guardian Email of Participant *
Your answer
Parent/Guardian Phone Number of Participant *
Your answer
Parent/Guardian Address of Participant( Required for insurance purposes if a Discover Dance Day or Bring a Friend participant)
Your answer
Program Participating In: *
If you marked Bring a Friend who were you recommended by?
Your answer
Must be 2 by Sept. 1st
Captionless Image
Must be 3 by Sept. 1st
Captionless Image
Must be 4 by Sept. 1st
Captionless Image
Must be 4 by Sept. 1st- Non performance class
Captionless Image
Release
Mini Program- Must be 5 by Nov. 1st
Captionless Image
Mini Program- Must be 5 by Nov. 1st
Captionless Image
Mini Program- Must be 5 by Nov. 1st
Captionless Image
Mini Program- Must be 5 by Nov. 1st
Captionless Image
Release
Petite Program- Must be 7 by Nov. 1st
Captionless Image
Petite Program- Must be 7 by Nov. 1st
Captionless Image
Petite Program- Must be 7 by Nov. 1st
Captionless Image
Release
Tween Ballet Program- Must be 9 by Nov. 1st
Tween Jazz Program- Must be 9 by Nov. 1st
Tween Hip Hop Program- Must be 9 by Nov. 1st
Tween Lyrical Program- Must be 9 by Nov. 1st
Tween Tap Program- Must be 9 by Nov. 1st
Captionless Image
Music Program
Release *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms