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:
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
