FootWorks Studio of Dance

Registration & Contact Information

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Contact us

 
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You may reach us via email by clicking on the link above

Telephone 922-7577

Or you may print off the form below and mail it to our address

 

 
There is a $25.00 non refundable annual registration fee per family for all season students.  Not applicable for camps or for a single 6 week session.

Footworks Studio of Dance

 

Registration:

 

Student’s Name__________________________________________________________________Age_____________________                                                                     

 

Years of Dance Training__________________Where?_____________________________________________________

 

 Home Address___________________________________________________________________________________

 

Telephone number_________________________________________________________________________________

 

E-Mail Address___________________________________________________________________________________

 

Any medical condition student may have_______________________________________________________________

 

Class choice/Time___________________________________________________

 

Parent/Guardian Signature___________________________________________________________________________

I acknowledge that my child is in good physical condition to participate in the sport of dance or gymnastics. and understand participation in such sport has a risk of injury associated with it.  I will not hold Footworks & it’s teachers liable for any injury sustained from participating in said sport.

 

 

Mail To:

Donna LaRose

PO Box 419 Milton VT  05468