Dancer Name *

First Name

Last Name

Birthday *

MM

DD

YYYY

Phone *

(###)

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Phone 2 (Opt.)

(###)

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I have paid the $25 registration fee (Click Here). Your registration will not be complete and your dancer's place will not be held until the non-refundable registration fee has been paid. *

To pay the registration fee online click above. The registration fee may also be paid by cash/check at the studio.

Yes

I agree that I fully understand all policies as outlined in the Parent Handbook (Click Here) and give my participation consent and release of liability for the dancer I am registering. *

Yes, I consent to participation

COVID-19 INFORMED CONSENT: I am aware of the risks of contracting COVID- 19 from interaction during dance class/performance. I reaffirm that I am not a carrier, nor is my dancer, of COVID-19 nor infected with COVID-19 to the best of my knowledge. I do voluntarily assume any and ALL reasonable medical risks, including the substantial and significant risk of serious harm, if any, which may be associated with any phase of instruction, participation and performance with Silhouette Dance Studio as a result of COVID-19. I will in no way hold Silhouette Dance Studio or any of its affiliates responsible in any way. *

Yes, I consent to participation