Student Name #1
*
If registering more than two children, please write the third child's name and age in the comment box below.
First Name
Last Name
Student # 1 Birthday (00/00/0000)
*
Student Name #2
First Name
Last Name
Student #2 Birthday
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
Parent/Guardian Phone #
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
SUMMER 2024 REGISTRATION
Photo/Video Release Waiver
I acknowledge and consent to allow Dance Elite to use:
photos and/or videos of my child/myself in publications (such as flyers/brochures),
advertisements (such as newspapers or online ads), our studio’s website, or on social
media sites (such as the studio’s facebook or instagram account). I understand that in
some cases, my child and/or my name may be used. I further understand no financial
compensation will be for use of these photos/videos.
Please select one:
Questions/Comments
