Dance South 2018-19  

Registration Fee is required to hold class space.  
     
BIRTHDAY:
NAME:
PARENT'S NAME:
ADDRESS:
PHONE:
E-MAIL:
ANY MEDICAL CONDITIONS OR ALLERGIES:
PREVIOUS DANCE TRAINING:
PLEASE ENROLL MY CHILD IN THE FOLLOWING CLASS OR CLASSES:
MY CHILD IS INTERESTED IN ENROLLING IN CLASSES,
BUT I AM NOT SURE WHAT CLASS IS BEST FOR HER/HIM.  
SHE/HE IS INTERESTED IN THE FOLLOWING TYPES OF
CLASSES.
I, parent or legal guardian, hereby waive and hold harmless any and all Dance South staff and any other
staff working in conjunction with Dance South and any and all facilities and transportation vehicles Dance
South deems necessary to use or teach from or be associated with, whether paid or volunteer, for any
injuries, claims or damages in conjunction with Dance South. I understand that as with any athletic activity
that involves motion, participation creates the possibility of accidental injury.  However, I also understand
that precautions will be taken to prevent such injuries.  I understand the risks involved in my child’s/ward’s
participation at Dance South.  I have also read and understand the studio policies listed in the Dance
South Policies and Procedures guide and agree to follow said rules.  I understand that Dance South does
not offer any type of refunds.  I
understand that I am required to give 30 day notice in the event
that I withdraw my child from classes and I am responsible for that month's tuition.
 I hereby
consent and wish to have my child/ward actively participate at Dance South.
Please check:
Thank you for enrolling your child with Dance South.  We will contact you within 5
business days to confirm or schedule your child's class time.  If you have any further
questions, we will be happy to answer them.  Please contact us at
info@dance-south.com or 615-672-2787.