X-Treme Dance Studio
Laurel, Delaware



Registration Form   



REGISTRATION AGREEMENT

BY ELECTRONICALLY SIGNING THIS FORM I ACHNOWLEDGE AND AGREE TO ALL TERMS DESCRIBED IN THIS FORM.

 I have read and agree to all of the requirements listed on the full studio policy. I am also aware that XDS is not liable for any lost or stolen property or any injuries that may occur at the studio or during studio events.  I have been made aware that I must look at the studio bulletin board, newsletters, and/or the studio website for  reminders, announcements, or notices. I understand that if I pay a payment after its due date, I am required to pay all late fee(s) and my child will be unable to participate until my account is paid in full. I am aware that there is/are live streaming audio and video security camera(s) in the studio, that also has the ability to record audio and video; furthermore, I hereby consent to any recording that may occur while my child(ren) or myself and/or my guests are in the studio.

*Dancers First & Last Name:
*Age & Date of Birth:
*Program/Class/Time (example: Fall, hip-hop, Thursday 5:00pm):
*Primary Phone Number:
*E-mail Address REQUIRED :
*Full Mailing Address:
*Secondary Contact Person Name, Phone and/or E-mail:
Student's Dance or Similar Experience:
*Legal Guardian Electronic Signature:
Additional Comments: