Genesee Dance Theatre School Registration
Please submit your non-refundable registration fee with your enrollment information ($20 per family; waived if enrolling before June 1). Please complete a separate form for each child.
Student Name *
Last, First
Your answer
Student's Age *
as of 9/1/2018
Your answer
Student's Date of Birth *
MM
/
DD
/
YYYY
Parent/Guardian #1 Name
Only required if student is under 18 or if parent is responsible for billing
Your answer
Parent Gaurdian #2 Name
Your answer
Primary Phone Number *
please include area code
Your answer
Alternate Phone Number
please include area code
Your answer
Would you like to receive text alerts from GDTS about weather-related closings or schedule changes? *
We will only text you in the event of a sudden cancellation, schedule change or emergency (usually 2 -4 times per year maximum)
Required
Primary Email Address *
Please provide a valid email address that you check often. Email is our primary way of communicating with parents. By providing this address you consent to receiving monthly e-newsletters that include important school updates, performance information, and reminders.
Your answer
Mailing Address *
Your answer
Previous Dance Experience
If your student has danced before, please indicate number of years, style of dance studied and name of studio or instructor. This will aid our director in determining the most appropriate initial class placement for your student. If your student has never danced, simply write "none."
Your answer
Program Choice
Select the program(s) your student is interested in. For programs with multiple levels, we will place your child according to age, experience and ability. See the class descriptions page on the website for more information about each class option.
Does your student have any allergies, chronic injuries, medical or behavioral conditions of which we should be aware? *
Please let us know so we can help your student succeed!
Your answer
Would you like more information about scholarships or work/study based financial aid?
How did you hear about Genesee Dance Theatre?
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