Studio Visit

Please fill out the following information and press the I agree button

Student's Name:
Student's Age:
Birthday:
Grade:
Address:
City:
State:
Zip:
Mother's Name:
Father's Name:
Home Phone:
Work Phone:
Parent's Occupation:
Email:
List Experience:
Class or Camp of Interest: (include time & day)
Please list any medical conditions which might be affected or aggravated by participation in any activities at the ContempraDance Center:

$20 Registration fee per family and first payment due upon registering.

NOTICE! CONTEMPRADANCE CENTER URGES ALL MEMBERS TO OBTAIN A PHYSICAL EXAMINATION FROM THEIR PHYSICIANS PRIOR TO THE USE OF ANY EQUIPMENT OR ATTENDANCE IN ANY DANCE CLASS IN RECOGNITION OF THE POSSIBLE DANGERS CONNECTED WITH ANY PHYSICAL ACTIVITY. MEMBERS/VISITORS KNOWINGLY AND VOLUNTARILY WAIVE ANY RIGHT OR CAUSE OF ACTION OF ANYKIND WHATSOEVER ARISING AS THE RESULT OF ANY OCCURRRENCE FROM WHICH ANY LIABILITY MAY OR COULD ACCRUE TO CONTEMPRADANCE CENTER; IT'S OWNERS, OFFICERS, AGENTS, LANDLORDS, EMPLOYEES OR INSTRUCTORS.

THE STUDENTS OR THEIR PARENTS HEREBY ASSUME ALL RISK AND PARENTS UNDERSTAND THE POLICIES OF THE CONTEMPRADANCE CENTER AND WILL ABIDE BY THEM. FAILURE TO DO SO MAY RESULT IN SUSPENSION OR EXPULSION FROM CLASSES OR ACTIVITIES WITH THE CENTER.