Online Registration – 6-Week Summer Dance Classes

Online Registration
6-Week Summer Dance Classes

Summer Dance Classes are June 11-26, 2018.

To register, complete and submit the form below. After registering, you may submit payment either online with a credit or debit card, or by sending a check to the studio.

If you have any questions contact us by email, or call our office at (715) 536-4411.

All fields marked * are required.

Is this a new student?:*

Student is:*

Emergency Contact Phone Type::

Class choice(s) (check all that apply):*

How will you be paying the registration?: *

Parental Release

Please read these terms carefully and indicate your acceptance by checking the box below and entering your name.

I have adequate medical and injury insurance protection / coverage for my/our son(s) or daughter(s) and will assume responsibility for any medical costs or bills incurred from injuries received while participating in any activities for Dorinda's Dance Studio. My child's picture/photos/video from the camp may be used for studio media and promotions. I agree not to post studio choreography, music, performances or pictures to social media.

Are there any medical concerns which we should be aware of?:

I accept the above terms and conditions:

Check the box above to accept the terms and conditions.^