Student's Age *
NEW DANCERS: How did you hear about us?
Street Address *
Address Line 2 (Apt/Unit, etc.)
City, State, Zip *
Preferred Contact Phone *
Parent/Guardian Name (if student under 18)
City, State, Zip
Preferred Contact Phone
Select Desired Number of Classes Per Week *
NUMBER OF CLASSES PER WEEK 1 Class Per Week $112 2 Classes Per Week $200 3 Classes Per Week $270 4 Classes Per Week $330 Workshop I (5-6 Classes/wk) $375 Workshop II (7+ Classes/wk) $410 WERQ 10 Class Card $140
NOTE: Number of Classes per week cannot be combined for family Members.
An annual registration/insurance fee of $30 is additional. PLEASE SELECT ONLY THE SAME NUMBER OF CLASSES BELOW THAT MATCHES YOUR DESIRED NUMBER OF CLASSES PER WEEK.
Select Monday Classes Desired
Select Tuesday Classes Desired
Select Wednesday Classes Desired
Select Thursday Classes Desired
*NOTE: Pointe Classes require a $45 fee in addition to multiple class or workshop fee
Select Saturday Classes Desired
Would you like to make payment online by debit/credit card?
If “YES”, we will send you an email with your total amount due and a link to our Square online payment system. If “No Thanks”, we will send you an email with your total amount due prior to attending your first class.
Waiver/Liability Consent – Please check below indicating that you agree to the terms
Studio Policies: I have read the STUDIO RULES & POLICIES (on our “Programs” web page) and agree to abide by them.
Waiver & Release: I understand that my/my child’s participation in dance classes may expose me/her/him to the risk of personal injury, illness or property damage occurring during instructions or performance. I certify that I am, or my child is, in good health and capable of participating in all of the activities and classes.
Photo/Image Release: I give my consent for images (photos/video/etc.) of me or my child to be taken and used to document activities with The Dancing Corner. I grant permission to The Dancing Corner, its agencies, staff and designated agents, to use said images for educational and promotional purposes on our website, social media, print & collateral materials, and other means of marketing or news. (Checking this box grants permission, leaving box unchecked declines permission.)