Registration

Fall Registration 2023-2024

Student Information

* Indicates required field

Student 1 Name *

First

Last

DOB Month *

Day *

Year *

Student 2 Name *

First

Last

DOB Month *

Day *

Year *

Student 3 Name *

First

Last

DOB Month *

Day *

Year *

Shoe Size *

Gender *

Shoe Size *

Gender *

Shoe Size *

Gender *

Parent/Guardian Information

Parent/Guardian *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Relationship *

Email *

Phone Number *

Class Registration

You can access the schedule by hovering over "Non-Competitive Classes" from the navigation bar and then select "Non-Competitive Class Schedule".

How many classes are you registering Student 1 for? *

Class Names *

How many classes are you registering Student 2 for? *

How many classes are you registering Student 3 for? *

Class Names *

Disclosures

Check Box to Agree: *

I understand there is a $30.00 registration fee per student or $60.00 per family that will be added to my account and is due before my child(ren) attends their first class. (if you were given or have a promotional item to receive free registration, please email it to gravitydancecenter@gmail.com)

Check Box to Agree: *

I understand for tumbling/acro classes there is a $50 insurance/performance fee for one child or $80 per family that is due by October 1, 2023. This fee covers all performances as well as insurance for my child to attend Gravity Dance Center.

Check Box to Agree *

I understand that depending on the class(es) I chose there will be a costume fee for each class due by October 1, 2023, and depending on the classes I chose there may be another costume fee due by February 1, 2024 as outlined in the Non-Competitive Class Pricing Sheet. (See bottom of this form to download pricing sheet).

Check Box to Agree *

I understand and agree that in participating in the Gravity Dance Center Program, there is a possibility of physical injury. I voluntarily agree, therefore, to assume all risks and responsibility for any such injury or accident, which might occur to me or my child(ren) during any of Gravity Dance Center’s activities. I also exempt, release, and indemnify Gravity Dance Center, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students from any and all liability claims, demands, or causes of action whatsoever from any damage, loss, injury to my child(ren), or property which may arise out of or in connection with participation in any classes or activities conducted by Gravity Dance Center. I further hereby voluntarily agree to waive my rights and that of my heirs and assigns to hold Gravity Dance Center, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students liable for such damage, loss, or injury. If I am signing this waiver for my child(ren), I certify that I am the parent or legal guardian and have the right to waive these rights. I understand that there will be no refunds if Gravity Dance Center is forced to stop in studio classes due to government given guidelines.

Check Box to Agree: *

I understand if I have an unpaid balance to Gravity Dance Center and do not make satisfactory payment arrangements, my account may be placed with an external collection agency. I will be responsible for reimbursement of any fees from the collection agency, including all costs and expenses incurred collecting my account, and possibly including reasonable attorney’s fees if so incurred during collection efforts.

Check Box to Agree: *

In order for Gravity Dance Center or their designated external collection agency to service my account, and where not prohibited by applicable law, I agree that Gravity Dance center and the designated external collection agency are authorized to (i) contact me by telephone at the telephone number(s) I am providing, including wireless telephone numbers, which could result in charges to me, (ii) contact me by sending text messages (message and data rates may apply) or emails, using any email address I provide and (iii) methods of contact may include using pre-recorded/artificial voice message and/or use of an automatic dialing device, as applicable.

Check Box to Agree: *

I understand that photos of my child(ren) may be used on the Gravity Dance Center website, blog, Facebook page, or for other marketing campaigns. I understand that I must submit a request in writing if I do not wish for Gravity Dance Center to publish my child(ren)’s photos.

Electronic Signature

Check Box to Accept: *

By typing my name and clicking "submit", I acknowledge and agree to the above registration.

Name *

Submit