Please fill out a separate registration form for each student

  • Use the electronic form below to directly email your registration to us. When you complete this form, you must set up your account with CDC here at Direct Payment.
  • Registration is $45 per family. 
  • For full billing procedures, please visit our Studio Policies.
  • We must receive your registration form and fee for your dancer to be enrolled. If you have not paid your Registration Fee, submit payment here.
Student's Name *
Student's Name
If you are interested in Hip-Hop, please check below
Mother's Name
Mother's Name
Father's Name
Father's Name
Address *
Address
Mother Cell
Mother Cell
Father Cell
Father Cell
Emergency Contact *
Emergency Contact
other than parent
Emergency Contact Phone *
Emergency Contact Phone
Dancer's Cell Phone
Dancer's Cell Phone
If applicable
Liability Disclaimer
CORE DANCE CENTER AND THE INSTRUCTORS ARE NOT LIABLE FOR PERSONAL INJURIES, LOSS OF AND/OR DAMAGES TO PERSONAL PROPERTY. EACH STUDENT MAY DECLINE TO PARTICIPATE IN ANY ACTIVITY. PLEASE INFORM THE INSTRUCTOR OF ANY PHYSICAL LIMITATIONS YOUR CHILD MAY HAVE. IF YOU HAVE ANY DOUBT IN YOUR CHILD’S ABILITIES, PLEASE CONSULT WITH HIS/HER PHYSICIAN BEFORE PARTICIPATING. CORE DANCE CENTER CANNOT DISPENSE ASPIRIN OR ANY OTHER MEDICATIONS.
Photographic Contract
I HEREBY CONSENT TO AND AUTHORIZE THE USE AND REPRODUCTION BY CORE DANCE CENTER, OR ANYONE AUTHORIZED BY CORE DANCE CENTER, OF ANY AND ALL PHOTOGRAPHS THAT HAVE BEEN TAKEN OF MY CHILD(REN) FOR DANCE PURPOSES. CORE DANCE CENTER RESERVES THE RIGHT TO USE THESE PHOTOGRAPHS IN ANY OF ITS PRINT OR ELECTRONIC PUBLICATIONS.
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