Sign Up Students Name: * First Name Last Name Students Age: * Students Date of Birth: * MM DD YYYY Parent/ Guardian Name: * First Name Last Name Cell Phone: * (###) ### #### Email * Alleries/ Concerns: * What class are you interested in signing up for? * Years of Dance Experience: * Type of Dance Studied: How did you hear about us? * Check if so: Would like to receive TEXT for Dynamic Dance Co. updates? Dynamic Dance Co. has the permission to use my child's photograph publicly to promote the dance studio via social media and promotional material? I understand the activities and risks involved in dance classes. I hereby release Dynamic Dance Co. all responsibility for any injuries sustained by my student/self while on Dynamic Dance Co. premises before, during, and after dance class. I also understand and agree to the payment terms. Thank you!