School of Dance Registration

Basic Information 

Parent Name
Student Name
Birthday
Age
Address
City
State
Zip
Phone
Email
 
Receive Remind App Communication?
 
Are you a JCC Member?
 
Check one:

Medical Information

Will student require any special medical attention during a normal class period?
 
If yes, please explain
Allergies:

Class Selection

Registration Season
 
Creative Movement Program (Ages 2-5)
 Dance Discovery (2-3)
 Creative Movement I (3-4)
 Creative Movement II (4-5)
 
Mini Dance Program (Ages 6-7)
 Mini Ballet
 Mini Acro-Jazz
 Mini Tap
 Mini Baton (Summer only)
 
Dance Curriculum Program Level I (Ages 7-11)
 Ballet
 Jazz
 Tap
 
Dance Curriculum Program Level II (Ages 12-15)
 Ballet
 Jazz
 Tap
 
Dance Electives
 Baton I
 Baton II
 Baton III
 Beginner Acro
 
Adult Dance Program (Ages 16+)
 Adult Ballet I
 Adult Ballet II
 Adult Ballet III
 Adult Tap I
 Adult Tap II
 

Liability Release and Waiver

 I understand the studio policies.
 I understand my billing obligations.
 I understand the studio dress code.
 I understand my responsibilites for my personal property.
 
I give permission to JCC to photograph students and use said photos for marketing purposes.
 
I give permission to JCC School of Dance to contact me via text and/or email through the Remind system for communication and alert purposes.
 
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