Registration Form

Registration Form
Dancer’s Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*
Age*
Phone Number*

Area CodePhone Number
Email (this is the email we send all communication through, you can add multiple emails)*
Years of Dance Experience*
Any Medical Conditions, Allergies or Special Needs that we should be aware of*
Classes Enrolling in:*

Petite AcroTeen & Senior AcroTeen & Senior Hip-HopTeen & Senior Modern/ContemporaryJunior Modern/ContemporaryJunior Hip-HopJunior AcroBeginner Adult TapPetite Modern/Hip-HopJunior Ballet/LyricalJunior JazzBeginner Adult BalletMini Ballet/Tap/JazzPetite Ballet/Tap/JazzTeen & Senior Ballet/LyricalTeen & Senior PointeJunior TapTeen & Senior JazzTrial ClassPerformed Solo previous years & interested in Solo this yearInterested in Solo or Private Lesson
*Mini Dancers: Dancers must be potty trained.

*Pointe Class: Dancers must be 11 and up, must have at least 2-3 years of Ballet Experience, must be currently enrolled in Ballet.
How did you hear of us? (If not a current dancer already)
Parent or Guardian Information (If Applicable):
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Emergency Contact (If Different than Parent or Guardian Information)
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
The $20 Registration Fee per family is due by the first day of class.

Tuition is due by the first class of every month.

2025-2026 Session Tuition is a monthly fee and cannot be prorated for missed classes.

2025-2026 Session Tuition is based on a yearly rate and is divided evenly among the 10 months of the session. Tuition is the same every month, regardless of Holidays or the number of classes in each month.

Payments can be made by cash or checks, make checks payable to Contemporary Academy of Dance. Payments are non-refundable.
All Tuition information and Policies are listed on our website.

For public relation purposes photos and videos may be taken of you or your child. If you object to the use of these photos or videos you must notify Contemporary Academy of Dance in writing.
Liability Release
Contemporary Academy of Dance is not liable for any injury, damage or loss of property. I release Contemporary Academy of Dance from all liability, injury, damage or loss of property. I have read and agree to the payment terms, fees, and policies listed on our website.
Signature*

Clear
Date*

MonthDayYear
Date
Once this form is submitted, you will receive an email confirmation within 48 hours. Please check your junk mail if you did not receive an email confirmation.
Should be Empty:

Registration Form

Parent or Guardian Information (If Applicable):

Emergency Contact (If Different than Parent or Guardian Information)

Liability Release