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Dance Arts
31040 E Lake Morton Dr SE
Covington, WA 98042
(206) 265-1006
dancearts1@gmail.com
Online Registration
Please fill out the Registration Form below and click on the Submit button.
Parent / Guardian Information
First Name
Last Name
Address
City
Zip
Home Phone
Work Phone
Cell
Email Address
Comments
(500 characters max)
Student 1 Information
First Name
Last Name
Birthday (mm/dd/yyyy)
School
Select Classes
Student 2 Information
First Name
Last Name
Birthday (mm/dd/yyyy)
School
Select Classes
Student 3 Information
First Name
Last Name
Birthday (mm/dd/yyyy)
School
Select Classes
How did you hear about us?
Yellow Pages
Kent Reporter
Door Hanger
Internet
Poster
Performance
Voice of the Valley
Postcard
Friend
Friend Name:
By checking the box and submitting this form, I am aware that during dance lessons (or other related activities), that I/my child will be taking the floor at my/their own risk and agrees to hold Dance Arts(instructors and staff) harmless of any physical injury to the student. In the event of an emergency, every effort will be made to contact parents immediately. If unable to reach you, this form authorizes Dance Arts to call 911. This release will be effective for the entire period I am, or my children, are on the premises of Dance Arts or participant in off-facility locations. Also, the studio may take photos/videos of students for the purpose of promoting the studio,documenting progress and performances.
©
2012
Dance Arts