Dance Wyoming Student Registration

Please fill out one registration form per Student.

Dear Parents: Dance Wyoming places a high value on your need to make sure your child is safe, having fun and doing well. So that we can give your child the best possible attention please do not stay at the studio during class. Make sure you receive a copy of, and agree to, the studio’s Policies and Procedures Outline for Parents and Students.

Student name *

Age *

Birthdate? *

Classes available *

Do you Qualify for the Multi Student or Multi Class Discount? *

Contact information

Parent name *

Email *

Phone number *

Preferred method of contact *

Email

Phone

Text message

Who is allowed to pick up your child?

Any Allergies or Health Issues? - Strictly Confidential

General Release Form

Monthly tuition is $40.00 due the first class of each month. There is a discount for multi class and/or siblings. Costumes and Shoes are EXTRA and must be paid in full prior to any recital. A late fee of $5.00 will be applied for EACH invoice having to be re-sent (via e-mail). Payment via PayPal can be made at www.dancewyoming.com.

There is a risk of injury whenever children are involved in physical activities. I agree to release and hold harmless DANCE WYOMING and its officers, agents, licensees, directors and employees from any damages, physical injury or death this occurs while my child is involved with Dance Wyoming in attending classes, or performing, I accept the risk of and agree to hold Dance Wyoming harmless from all responsibility for damages, physical injury of death incurred while transporting my child(ren) to and from class and performances. To plan for recitals a commitment for a full semester is required. Also, by signing this I understand my child’s photographic images may be used in advertising, local newspaper, etc. I have received, read, and agreed to the studio’s Policies and Procedures Guidelines for Parents and Students.

Signature *

clear

Current Total:

$0.00