Flor de Liz Dance

Student Name *

First Name

Last Name

Student Date of Birth *

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Address *

Address 1

Address 2

City

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Phone *

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Emergency Phone #

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Parent Name *

Parent name needed when registering a child.

First Name

Last Name

Studio Injury Waiver Form *

As with any physical activity or sport there is always a potential for injury to the participants. Rehearsing, practicing or performing dance is no exception. Flor de Liz Dance Studio strives to maintain a professional studio and the safest conditions possible for the dancers and staff, however, Flor de Liz Dance Studio is not responsible for any accidents or injuries that might occur to students or staff engaged in the activiites associated with dance. I agree not to hold Flor de Liz Dance Studios responsible for any injury or accident that might occur while engaged in activities associated with rehearsing, practicing or performing dance.

I have read and understand the class policies.

Toddler Classes - Ages 3 & 4

6/8 - 7/20 - Toddler Session: Saturdays 10:50 - 11:20am

Pre Classes - Ages 4-6

Pre Ballet 1 Mondays 4:30 - 5:10 pm

Pre Ballet 1 Saturdays 10:10 - 10:50

Pre Camp - Ages 4-6 ( 4 day camp )

Little Mermaid Camp, June 10 - 13, Mon. - Thurs. 9:00am - 12:00pm

Fairy Dance Camp, June 24 - 27, Mon. - Thurs. 9:00am - 12:00pm

Children's Classes - Ages 7 - 12

Children's Ballet 1A & 1B Saturdays 9:00 - 10:00am

Children's Tap 1 & 2 Mondays 6:30 - 7:30pm

Children's Hip Hop/Jazz 1 Saturdays 11:30 - 12:30pm

Children Dance Camp - Ages 7 - 12 (Level 1A & 1B)

Swan Lake Dance Camp, June 10 - 13, Mon. - Thurs. 9:00am - 12:00pm