Child's Name *

First Name

Last Name

Child's Gender: *

Male

Female

Parent/ Guardian Name *

First Name

Last Name

1st Contact Number *

(###)

###

####

2nd Contact Number

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I have read and understand the terms & conditions at the top of the form and agree to SGDA's policies. *

Agree

I agree for my childs's photo to be taken and allow SGDA to use the images for advertising purposes on posters/brochures/ websites/ social media/ studio notice board. *

Yes

No

Participation Waiver *

We require that the dancers PARENT/ GUARDIAN/ reads and agrees to the following waiver: The MEMBER/ PARENT/ GUARDIAN waives and releases Studio G Dance Academy; any program; and it’s employees from any and all claims for personal injury arising during the participation in any program, and/ or while waiting unsupervised before and after class. The MEMBER/ PARENT/ GUARDIAN has read the website/ brochure/ registration details and accepts all policies posted on studiogdanceacademy.com.

Agree

COVID-19 Waiver *

By checking the box the parent/ guardian agrees with the COVID-19 waiver. See waiver attached at the bottom of the registration page.

Agree