Form Page: Registrationnew

Zion Baptist Church of Marietta

Online Registration form 2024-2025

The Spirit of Dance
www.thespiritofdance.com
678-522-3233
info@thespiritofdance.com

One form per student

Student's First Name

Student's DOB

Male

Female

Student's Last Name

Gender

Parent's Last Name

Parent's First Name

Mother's Cell

Address

Mother's Work

Home Phone

City

Father's Cell

Father's Work

Zip Code

State

Email address

Cell provider

Other

This information is needed to send texts

Contact Information

Relationship

Last Name

First Name

Phone Number

Emergency Contact Information

Allergies/Medical conditions

How did you hear about us?

Grade entering into

Student's phone number:

Student's email address:

Insurance ID:

Insurance Company

Additional information

My child has permission to participate in The Spirit of Dance programs. I waive any right to claim against The Spirit of Dance staff and teachers in the event of accident, illness, injury, or loss of personal items. Children must be insured to participate in The Spirit of Dance programs. I have read or have had read to me the foregoing in its entirety and by placing my signature below do declare that I understand that any cost or injury resulting from participation in this church sponsored activity is my responsibility..

I agree.

My child’s photographs or video image my be used on promotional or informational materials, press media, and possible publication on the World Wide Web through the church’s web page or The Spirit of Dance website taken for positive public relation purposes

Liability Agreement

(For students registering for classes that attend preschool at Lost Mountain Baptist, McEachern UMC and Marietta First United Methodist)

I give permission for employees with The Spirit of Dance program to take my child to their dance/tumble class from their pre-school class. I also understand that my child will be helped with changing into their dance clothes by the dance/tumble instructor and/or a parent volunteer before class.

Please check box if your child attends preschool at Lost Mountain Baptist, McEachern UMC and Marietta First United Methodist and you would like their dance/tumble teacher to take them to class after preschool.

Pre-School Pickup

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

Class

Due West Methodist

Class

Marietta First United Methodist

Class

McEachern Memorial United Methodist

Class

Spirit of Dance Studio

Class

Lost Mountain Baptist Preschool

5 Weeks

Class

6 weeks

West Marietta Cooperative Preschool

Class 1

Cheatham Hill Elementary School

Class 1

Zion Baptist Academy

Summer Classes

Classes begin June 3rd

My child will be taking:

Class 1

Class 2

Class 3

Class 4

IN HIS STEPS COMPANY (by Invitation only)

In His Steps Company (by Invitation only)

Class 1

Class 2

Class 3

Class 4

Class 5

Class 6

Class 7

Class 8

I have read, understood, and agree to the policies of Spirit of Dance

Class 9

2024-2025 Classes begin August 5th