Online Registration

Dancer's Name:

D.O.B.

Gender:

Address:

City, State, Zip Code:

Phone Number:

Email Address:

Parent/Guardian Name:

Relationship to Dancer:

Phone Number:

Email Address:

Emergency Contact:

Relationship to Dancer:

Phone Number:

Please list any allergies or medical conditions (e.g., peanut allergy, asthma):

Class Selections. Please select all that apply. Placement and level will be determined based on availability, age, and experience level. Someone from our team will assist you in selecting the correct classes once registered.

Session:

6-week
2024 Summer Session
2024-2025 Fall to Spring Season (September-June)
Full Year (July 2024-June 2025)

I hereby certify that my dancer is in good health and physical condition to participate in dance classes at On the Edge Dance Company. I understand that dance involves physical activity and assume all risks associated with participation. I agree to not hold On the Edge Dance Company, its owners, instructors, affiliates, or other participants liable for any injuries sustained during the course of my dancer’s training. TYPE NAME AND DATE BELOW:

I have read and agree to abide by all rules and regulations set forth by On the Edge Dance Company. TYPE NAME AND DATE BELOW:

I hereby grant permission for On the Edge Dance Company to use photographs and/or videos of my child, for promotional purposes, including but not limited to, website, social media, and print materials.. TYPE NAME AND DATE BELOW:

Thank you for completing our registration form. Please make sure all information provided is accurate and up-to-date. If you have any questions, feel free to contact us . TYPE NAME AND DATE BELOW:

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