As the owner and director of The Dancer's Advantage, I welcome your questions and encourage you to send me an email.
My email address is brianbender@thedancersadvantage.com
The Dancer's Advantage
www.thedancersadvantage.com
REGISTRATION FORM
(Insurance Fee: $35.00) Insurance Fee Paid _________
Dancer's Name ________________________________________________________________
Dancer's Age or Date of Birth ___________________ TDA Start Date_____________________
Class/es you are signing up for____________________________________________________
Address __________________________________________________ City ________________
Zip Code ___________ Home Phone ___________________ Cell Phone ___________________
Work Phone ______________________ E-MAIL ______________________________________
Occupation if not a child__________________________________________________________
Person Responsible For Tuition _____________________Home Phone ____________________
Emergency Contact ______________________________ Phone _________________________
Relationship __________________________________ Phone ___________________________
Health Problems/Injuries __________________________________________________________
Previous Dance Training - Name of School ___________________________________________
Professional Dance Company _______________________________ Number of Years ________
Registered Class _______________________________________________________________
How did you hear about us?_______________________________________________________
Recommended By: ______________________________________________________________
PLEASE SIGN THE CONSENT FORM BELOW AND SUBMIT WITH REGISTRATION
I HAVE READ AND FULLY UNDERSTAND AND AGREE TO ABIDE BY THE SCHOOL POLICIES.
I AGREE TO ACCEPT ALL SCHOOL POLICIES. MY SIGNATURE WILL BE KEPT ON FILE AS A RECORD OF MY
ACCEPTANCE.
Parent or Adult's NAME __________________________________________________________
CLASS LEVEL _______________________________ DAY/TIME _________________________
PARENT / ADULT STUDENT'S SIGNATURE __________________________________________
Questions? Call us at 303-320-6659 or Visit our web site at www.thedancersadvantage.com
You may email this form to admin@thedancersadvantage.com
You may email this form to us as a pre enrollment measure. Or complete this form and bring it with you to save time at
you first class.
Note: This form ensures a 48 hour hold on your place in our class. Dancers are not assured a place in class until
payment is made.
Our email address is brianbender@thedancersadvantage.com