"dedicated in helping each dancer reach their full potential in and out of the dance studio"

Online Registration Form

Registration Form

Register for the 4 - week Summer Series from July 7th - July 30th

or

The Dance Camps running either August 5th - 8th or August 12th - 15th

Adult Name *
Adult Name
Phone Number
Phone Number
Emergency Contact *
Emergency Contact
*if can not reach number above
Emergency Contact Phone Number
Emergency Contact Phone Number
Dancer #1 Name *
Dancer #1 Name
*Oldest to youngest
Please write below what class(es), day(s), and time(s) you are signing the above dancer for
Dancer #2 Name
Dancer #2 Name
Please write below what class(es) and time(s) you are signing the above dancer for
Dancer #3 Name
Dancer #3 Name
Please write below what class(es), day(s), and time(s) you are signing the above dancer for
Dancer #4 Name
Dancer #4 Name
*more then 4? Please email me separately after completing this form for the first 4. Thank you.
Please write below what class(es), day(s), and time(s) you are signing the above dancer for
Tuition Discounts
10% off whole 32 week tuition if paid in full upon registration (80% refund given if dancer drops) $8 off 2nd dancer’s monthly tuition per month $5 off each after 3 or more family members monthly tuition per month $5 off of each extra class dancer is enrolled in per month Acro/Tricks or Stretch class free if enrolled in 3 or more classes per month Boys dance free first year enrolled
Checkbox *
Read and Then Sign Liability Waiver and Acknowledgment of Risk: (registration is not complete without signature) I understand and agree that in participating in any dance class or rehearsal or performance, there is a possibility of physical injury. I voluntarily agree to assume all risks and responsibility for any such injury or accident, which might occur to me, my child, or any person I bring into the space where The Dance Space classes, activities, performances, or rehearsals are held. I also exempt, release, and indemnify The Dance Space, its owners, agents, volunteers, assistants, employees, guests, faculty members, and/or students from any and all liability claims, demands, or causes of action whatsoever from any damage, loss, injury, or death to me, or property which may arise out of or in connection with participation in any classes or activities conducted by The Dance Space. I further hereby voluntarily agree to waive my rights and that of my heirs and assigns to hold The Dance Space, its owners, volunteers, assistants, employees, guests, faculty members, and/or students liable for such loss, injury, or death. I understand that I should be aware of mine and my child's physical limitations and agree not to exceed them. If I am signing this waiver for my children/dependent, I certify that I am the parent or legal guardian and have the right to waive these rights for the names listed above.
Signature *
Signature
By typing your name below you are agreeing you have read, understood and agree to be bound by the above statement (please print your name, sign, and date below):
Checking this box gives permission is granted to The Dance Space to use photographs or videos of dancers for publicity purposes.
Please select how you came to hear about TheDanceSpace.