walla walla DANCE company

Student Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Parent/Guardian's Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

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? *

All students should sign up at their current level. Director will advise otherwise.

Pre-Ballet

Ballet | Lyrical 1 | 2

Ballet | Lyrical 2 | 3

Ballet | Lyrical 3 | 4

MIX Rotating Styles (14 +)

Contemporary (9 - 13 yrs)

Contemporary Ballet 4 | 5

Lyrical 5

Jazz 2

Jazz 3

Jazz 3 | 4 | T

Jazz 5

Hippity Hop

Hip Hop 1 | 2

Hip Hop 2 | 3 | Teen

Hip Hop 4 | 5

Turns + Jumps

Private lessons

Jazz 1

Dance Movement

Creative Dance