Summer 2018 Pre-Registration

Summer 2018 Pre-Registration

Mon, 04/10/2017 - 11:47am -- administrator

View more information about the Summer Schedule here!

NOTICE:  Confirmation of class will be confirmed when full payment has been received.  Filling out this form does NOT guarantee placement.

Please mail check to:

Belladance
260 Rosemont Avenue
Fort Thomas, KY 41075

On your check memo please include:

  • Child's name
  • Studio location
  • Class

Remember class size is limited, enrollment is on a first come first serve basis.

Dancer Information

Notice: The Dance Team Clinic is taught at the Fort Thomas location.

Parent Information
Emergency Contact Information
Please list and explain
Release Information

By typing YES, I agree to the following: the Studio will not be held liable for injury that may be encountered during dance, tumbling or any events.

By typing YES, I agree to the following: I give the studio permission to use my childs picture or video in any promotional or instructional material.

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