Form Page: Registration

Online Registration Form
2025-2026

One form per student

Student's First Name

Student's Last Name

Student's DOB

Mother's Cell

Mother's Work

Parent's Last Name

Parent's First Name

Address

City

State

Zip Code

Home Phone

Father's Cell

Father's Work

Email Address

Mobile phone service provider

Contact Information

First Name

Last Name

Relationship

Phone Number

Emergency Contact Information

Allergies/Medical conditions

School

How did you hear about us?

Additional information

As the legal parent or guardian, I release and hold harmless DANCE STOP STUDIOS (DSS), its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or in route to or from any of said premises. I understand that appropriate physical contact is required during the instruction of dance & fitness and I give permission for instructors to make appropriate physical contact with my child for such instruction.

Liability Agreement

I give permission for DSS to take photos and or videos of DSS classes, rehearsals and/or performances, including dancers of DSS in costumes of me or my child while participating in DSS activities for promotional purposes. Names of students will not be used or disclosed. I understand that I am giving permission to use these photos and/or videos for publishing use, in printed or electronic format.

I agree to Dance Stop Studios libility policy.

Photo Release

Select the desired classes from the dropdown list. To unselect a class, select the blank item.

Yes

Class 1

45 Minute classes
(*) - DENOTES CLOSED CLASSES)

** Classes start in January 2026

1 hour classes

I have read and agree to the above terms and conditions - my child has my permission to take part in Dance Stop Studios.

* Class is closed

Class 2

Class 3

Class 4

Class 5

Class 6

Class Selection

Tuition

Total Amount

Payment