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About
Class Fees & Payment
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walla walla DANCE company
Classes
About
Class Fees & Payment
Calender
Contact Us
Gallery
Student Name
*
First Name
Last Name
Age
*
Date of Birth
*
MM
DD
YYYY
Student's Email Address
Parent/Guardian's Name
*
First Name
Last Name
Email Address
*
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Emergency Contact
First Name
Last Name
Emergency Contact Phone
*
(###)
###
####
Are there medical conditions we should be aware of?
How did you learn about us?
LIABILITY RELEASE:
*
I acknowledge that dance is a physical art form and there is a possibility of injury. Although, the staff are trained teachers, I understand that my daughter/son is assuming the risk of such injury and I release The Walla Walla Dance Company, and their instructors/coaches from any claim for injuries sustained under their supervision. In the event that I am not present and unable to be reached, I authorize The Walla Walla Dance Company staff to seek medical attention in case of emergency. By submitting this online form, I acknowledge that I have read, understand any assumed risks and will abide by the tuition polices of The Walla Walla Dance Company.
Yes, I agree.
No, I don't agree.
What classes would you like to register for?
*
Jazz 1
Dance Movement
Hippity Hop
Thank you! We can’t wait to see you in class!
Please direct any questions to wwdanceco2@gmail.com