Name of Dancer (First & Last) *

First Name

Last Name

Name of Parent/Guardian (First & Last)

First Name

Last Name

Phone

(###)

###

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Deposit required *

I understand that I or my dancer will not be officially added to the roster until the studio receives payment in Full or deposit. Payments can be made online on our Pay Online page. Registration Forms filled out online without payment will not be processed. I understand that refunds will not be issued for canceling/withdrawing from a class. Account credit will be issued for future use.

Yes, I understand

Summer Program Options: *

Please select the choice or choices for Summer 2021 program.

Mermaids & Seashells Age 3-4

Mermaids & Seashells Age 3-5

Summer Tech Intensive Age 5-6

Summer Tech Intensive Level 1

Summer Tech Intensive Level 2

Summer Tech Intensive Level 3

Summer Choreo Intensive Age 5-6

Summer Choreo Intensive Level 1

Summer Choreo Intensive Level 2

Summer Choreo Intensive Level 3

In My Eras Camp Age 7 & up

4 week session- Monday Age 5-6 Ballet/Tap

4 week session-Monday Age 5-6 Lyrical

4 week session- Monday- Ballet Level 1 Age 10+

4 week session- Monday Lyrical Level 1 Age 10+

4 week Session- Monday- Ballet Level 2

4 week Session- Monday- Lyrical/Contemporary Level 2

4 week Session- Monday- Ballet Level 3

4 week Session- Monday- Contemporary/Lyrical Level 3

4 week session- Tuesday- Age 5-6 Tumble

4 week session- Tuesday- Tumble Level 1 Age 10+

4 week session- Tuesday- Tumble Level 1 Age 7-9

4 week session- Tuesday- Tumble Level 2

4 week session- Tuesday- Tumble Level 3

4 week session- Tuesday- Age 5-6 Ballet/Jazz

4 week session- Tuesday- Age 3-4 Ballet/Jazz

4 week session- Tuesday -Jazz Level 1 Age 10+

4 week-session- Tuesday- Hip Hop Level 1 Age 7-9

4 week session- Wednesday Age 3-4 Tumble/Hip Hop

4 week session- Wednesday Age 3-4 Ballet/Tap

4 week session- Wednesday- Hip Hop Level 1 Age 10+

4 week session- Wednesday- Tap Level 1

4 week session- Wednesday Tap Levels 2/3

4 week session- Wednesday- Age 5-6 Hip Hop

4 week session- Wednesday- Jazz Level 1 Age 7-9

4 week session- Wednesday- Lyrical Level 1 Age 7-9

4 week session- Wednesday- Tech, Leaps, Turns Level 1 Age 7-9

4 week session- Thursday -Age 3-4 Ballet/Lyrical

4 week session- Thursday -Jazz Level 2

4 week session- Thursday- Hip Hop Level 2

4 week session- Thursday- Hip Hop Level 3

4 week session- Thursday- Tech, Leaps, Turns Level 2

4 week session- Thursday- Tech, Leaps, Turns Level 3

4 week session- Thursday- Jazz Level 3

4 week session- Thursday- Ballet Level 1 Age 7-9

4 week session- Thursday- Tech, Leaps, Turns Level 1 Age 10+

Checkbox 2 *

I understand that Inspiration Dance Academy and it's owner/partners cannot be held liable for any injuries that may occur while I/my dancer participates in camps, classes or intensives. I give permission for images of classes, camps, etc. that may include my dancer to be used by Inspiration Dance Academy for web design, social media, advertising. All Inspiration students must be in agreeance to this policy in order to participate in classes.

Yes

No