Flor de Liz Dance

Student Name *

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Last Name

Student Date of Birth *

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Address *

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Address 2

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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

closed 8/7 - 9/25 - 1st Toddler Session: Wednesdays 10:00 - 10:30am closed 8/3 - 9/21 - 1st Toddler Session: Saturdays 10:10 - 10:40am closed 8/3 - 9/21 - 1st Toddler Session: Saturdays 10:50 - 11:20am

10/9 - 12/4 - 2nd Toddler Session: Wednesdays 10:00 - 10:30am

10/5 - 11/23 - 2nd Toddler Session: Saturdays 10:10 - 10:40am

10/5 - 11/23 - 2nd Toddler Session: Saturdays 10:50 - 11:20am

Pre Classes - Ages 4-6

closed - Pre Ballet 1 Saturdays 9:10 - 9:50 am

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

Pre Ballet 1 Tuesdays 5:00 - 5:40 pm

Pre Tap/Jazz Saturdays 11:40 - 12:20 am

full - Put me on the waiting list Pre Ballet 1 Saturdays 10:00 - 10:40 am

Children's Classes - Ages 7 -12

Full - Put me on the waiting list for Children's Ballet 1 (Ages 7 - 12) Tuesdays 6:00 - 7:00 pm

Full - Put me on the waiting list for Children's Ballet 1 (Ages 7 - 12) Saturdays 9:00 - 10:00 am

Full - Put me on the waiting list for Children's Hip Hop/Jazz 1 (Ages 7 - 12) Wednesdays 5:00 - 6:00 pm

Full - Put me on the waiting list forChildren's Hip Hop/Jazz 1 (Ages 7 - 12) Saturdays 11:30 - 12:30 pm

Children's Tap 1 (Ages 7 - 12) Saturdays 12:30 -1:30 pm

Payment Preference *

Please choose your tuition payment preference

One time full semester payment.

Monthly Invoices: tuition total divided by months in semester. Note, choosing this option, you are committing to the full semester and making all payments in that semester. For Fall and Spring this is usually 5 months.