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Registration Information
IMPORTANT: Please fill out the form below to register for classes. Please fill out a new form for each class you would like to take.
Class placement is not guaranteed until payment is received, and is on a first come, first serve basis.
For Fall Classes: To Confirm Registration the 1st monthly payment will need to be submitted (including a non-refundable $20.00 registration fee for new students). Payable by check, cash, or credit card. (Please note: registration is not confirmed until payment is received.)
For Winter Semester classes: a non-refundable $20.00 registration fee for all new students is due upon registration. Payment is due in full at the time of registration.
All new students will pay a one time non-refundable family registration fee of $20.00 at the time of sign-up.
Registration Form
Please fill out all required (*) fields. Incomplete forms cannot be submitted.
*
Indicates required field
Student Name
*
First
Last
Birthdate (mm/dd/yyyy)
*
Age
*
18 Months
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20-29
30-39
40+
Parent Name
*
First
Last
Primary Phone Number
*
Select One
*
Home
Cell
Alternate Number
*
Select One
*
Home
Cell
Work
Other
If other, please indicate whose number is listed:
*
Address
*
City
*
State
*
Zip
*
Mailing List
*
Please add me to your student mailing list
Email:
*
1st Choice Class Selection
*
Please enter the name of your first choice class as it appears on the class schedule.
Day
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Time
*
Please enter the start time for your class choice as follows: Time and AM or PM (example 9:30 AM)
Please select an alternative class choice. This can mean a different time for your first class choice.
2nd Choice Class Selection
*
Please enter the name of your second choice class as it appears on the class schedule.
Day
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Time
*
Please enter the start time for your class choice as follows: Time and AM or PM (example 9:30 AM)
How did you hear about us?
*
Website
Facebook or other social media
Advertisment
Friend
Other (please explain below)
Explain
*
Liability Waiver
As the parent/guardian of the above mentioned child, I am aware that any physical movement program could result in injury and I permit my child to participate in such a program and release LimeLight Dance Studio, its owners, employees and staff from all liability for injury, from his/her participation in the program. I also agree to allow LimeLight Dance Studio to use photographic image or video of my child (without identification) for advertising or promotional purposes. As the parent/guardian of the above mentioned child, I have read and understand the terms of this agreement and will abide by the above mentioned guidelines.
By clicking the box below, I accept the terms of this agreement and will abide by the above mentioned guidelines.
*
I accept
Please click the "SUBMIT" button once you have completely filled out this form. Incomplete forms cannot be submitted.
Submit
Home
General Information
Staff
Registration Form
Class Schedules
Contact Us/Directions