Online Registration – 6-Week Summer Dance Classes

Online Registration
2018-2019
6-Week Summer Dance Classes

Summer Dance Classes are June 17 – August 1, 2019.

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 Brooke's School of Dance. 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.^