Dancers of All Abilities

CONTACT INFORMATION

Parent/Guardian Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code

Phone*

Email*

DANCER INFORMATION

Dancer's Name*

First Last

Date of Birth

Class Selection:

ADDITIONAL INFORMATION

More information:

Please let us know if there is anything specific that will help us make this a great experience for your dancer!

Will a caregiver or parent be participating in class?

Yes!
Not at this time.
Someone will be in the room, but not participating.

How did you hear about our DAA program?*

Radio - Z93
Riverfront
Email
Facebook
Friend
Internet Search
ARC
School District

I understand that participation in a dance program involves risk and possible injury. I authorize Amanda’s Academy of Dance to secure any emergency medical treatment that may be needed in case of an accident. I agree to indemnify Amanda’s Academy of Dance and staff from any and all claims to personal injury sustained while participation in this program or traveling to or from its facility and events.*

I agree.

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What is DAA?

Dancers of All Abilities is an all inclusive dance class that is open to individuals of all skill levels & abilities. Dancers learn & practice essential dance skills across various genres.

DAA also offers performance & competition opportunities!