Registration

  • Check off all classes below that the student is interested in. Official class schedules will be sent via email in August 2022 and upon receipt of the registration form and fee.
  • Classes Begin Monday 9/12/2022.
  • Fill out all information below. Parent or guardian must sign at the bottom.
  • Registration fees can be paid with cash, check, or online via Square.
  • Registration Fees: $40 individual, $65 family

 

Pay Online

Individual   Family

First Name
Last Name

Please check all that apply. Please note checking classes here is not committing to the class, but only to gauge your interests.

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First Name
Last Name
First Name
Last Name
Address
City
State
Postal Code
Country
  1. I am aware that participation in any physical activity involves risk and possible injury. I understand and agree that The Sam Smith School of Dance and its staff will assume no responsibilities for injuries or medical expenses incurred by my child(ren) or myself. My child(ren) (or I) has (have) no physical, mental, or emotional problems that would interfere with participation in this program.
  2. I am financially responsible for this family’s account and agree to make all payments in a timely manner.
  3. I have read and fully understand the school brochure regarding fees, dress code, and rules of the school and agree to adhere to them. I have also explained them to my child(ren).
  4. I have read and fully understand the studio’s COVID-19 safety plans and protocols. I agree to uphold the policies and procedures and to the list of acknowledgements set forth in that document.
  5. I give permission to use any photographs and/or images of my child(ren) for studio purposes (i.e. advertising, videos, website, etc.).

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