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Registration Form

The document is a registration form for the Fabulous Feet Dance Center's fall 2010-2011 dance classes. It requests student information like name, date of birth, gender, as well as parent/guardian contact information. The form also asks for emergency contacts, how the student heard about the studio, who is responsible for tuition payment, what classes the student wants to enroll in, and if they are interested in private lessons. By signing, the parent agrees to waive any liability for injury during enrollment and acknowledges receipt of studio policies. Physical measurements are taken for costumes.

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sheik1986
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16 views

Registration Form

The document is a registration form for the Fabulous Feet Dance Center's fall 2010-2011 dance classes. It requests student information like name, date of birth, gender, as well as parent/guardian contact information. The form also asks for emergency contacts, how the student heard about the studio, who is responsible for tuition payment, what classes the student wants to enroll in, and if they are interested in private lessons. By signing, the parent agrees to waive any liability for injury during enrollment and acknowledges receipt of studio policies. Physical measurements are taken for costumes.

Uploaded by

sheik1986
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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Fabulous Feet Dance Center

Fall Registration
2010-2011

Enrollment Date _____________________


Student Information:
First Name _____________________________________

Last Name ______________________________________

Date of Birth _______________________________

Female _____

Male _____

Parent/Guardian Information
Mothers/Guardians Name _________________________ Fathers/Guardians Name ___________________________
Mailing Address:
Street Address _________________________________________ City ___________________ Zip _______________
Home Phone: __________________________

Email Address ____________________________________________

Emergency Phone: Name ____________________________ Phone # ____________________________


Name __________________________ Phone # ____________________________
How did you hear about Fabulous Feet Dance Center? ____________________________________________________
Who is responsible for paying tuition/bills? ___Parents

____ Other Please provide name/address/phone


Name ___________________________________
Address _________________________________
Phone: __________________________________

Classes: Please specify class name(s) and day(s).


_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Are you interested in private lessons? ____ yes ____no
Does your child participate in one of our preschool programs? _______ If yes, where? __________________________
I HEREBY WAIVE ALL CLAIMS FOR INJURY, DAMAGE, OR LOSS TO MY PERSON AND PROPERTY DURING MY
ENROLLMENT IN THE YEAR AHEAD AND RELEASE THE PROMOTERS, DIRECTORS, PRINCIPALS, AGENTS
AND EMPLOYEES OF THE FABULOUS FEET DANCE CENTER, INC. FROM ANY LIABILITY FOR INJURY,
DAMAGE OR LOSS WHICH MAY BE CAUSED BY ANY ACT OR OMISSION OF ANY OF THEM.
**BY SIGNING, THE PARENT OR GUARDIAN EXPRESSLY ADOPTS AND AGREES TO BE BOUND BY THE ABOVE
WAIVER AND RELEASE AGREEMENT. THE SIGNATURE OF A PARENT OR GUARDIAN IS REQUIRED IN THE
CASE OF EVERY STUDENT WHO IS UNDER 18 YEARS OF AGE.
SIGNATURE_________________________________________DATE______________
I HAVE RECEIVED AND REVIEWED THE STUDIO POLICIES FOR FABULOUS FEET DANCE CENTER,
INC.____________________________________________DATE_____________
The policies and studio calendar are not enclosed in this package. Sign once you have received them at the
studio.

FOR OFFICE USE ONLY


Arm
Length_____________Bust_______________Waist_________________Hips________________
Girth_________________ Inseam______________ Tights________________

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