Child Registration Form

Submitted by admin on November 4, 2009 - 11:16am

Thank you for choosing Elite Dance Productions. Please fill out the registration form below. One child per form, please. If you have any questions, please email us or call us at (218)723-1EDP (1337).

Child's Full Name: *

Child's Birthdate: *

Previous Dance Training?: *

If Yes, Please Describe:

Any Healthy or Physical Restrictions?: *

If Yes, Please Describe:

Class Information

Choose Class(es): *

To select more than one class, hold down the CTRL key while clicking the appropriate classes.

Parent/Guardian Full Name: *

Place of Employment: *

Email Address: *

Home Phone:

Cell Phone:

Street Address: *

City: *

State: *

Zip Code: *

How Did You Hear About Us?: *

By clicking "Submit," I hereby release Elite Dance Productions and all employees from liability of personal injury or loss of property. I have read and agree to abide by all handbook rules and regulations and I understand that registration fees, costume fees and tuition is non-refundable should I decide I no longer want to/am able to attend classes.