Remote Learning Assistance
Welcome to the 2020-2021 Remote Learning Assistance with our family! We are excited to have you join us and we look forward to a great year.

*If under the age of 18 MUST be filled out by a parent / legal guardian
**You MUST sign a legal/medical/liability disclaimer and/or waiver below that includes, but is not limited to, statement(s) that protect AOS against physical injuries, illness, infectious & communicable disease(s) (i.e. COVID- 19, SARs, MERs, Ebola, Flu) injury, bodily harm, etc. If Waiver is NOT signed you will NOT be permitted to enter the AOS Dance Studio and take part in its classes, programs, camps, etc.
Email address *
Participant's Name (First, Middle initial, Last) *
Will you be enrolling an additional child and/or family member? If 'Yes', we will contact you separately regarding the discount however an individual application must be completed. *
Age *
Date of Birth *
MM
/
DD
/
YYYY
Name of School
Grade
Referred by: *
Parent / Legal Guardian Name: Must be over 21
Address (Please include full street name AND apt, unit numbers, etc.) *
City and State *
Zip Code *
Phone Number *
Emergency Contact Name *
Relation to Participant *
Phone Number *
Cell Number *
Emergency Contact Email Address *
Next
Never submit passwords through Google Forms.
This form was created inside of Art of Stepping. Report Abuse