walla walla DANCE company

Student Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Parent/Guardian's Name *

First Name

Last Name

Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact

First Name

Last Name

Emergency Contact Phone *

(###)

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LIABILITY RELEASE: *

I acknowledge that dance is a physical art form and there is a possibility of injury. Although, the staff are trained teachers, I understand that my daughter/son is assuming the risk of such injury and I release The Walla Walla Dance Company, and their instructors/coaches from any claim for injuries sustained under their supervision. In the event that I am not present and unable to be reached, I authorize The Walla Walla Dance Company staff to seek medical attention in case of emergency. By submitting this online form, I acknowledge that I have read, understand any assumed risks and will abide by the tuition polices of The Walla Walla Dance Company.

Yes, I agree.

No, I don't agree.

What classes would you like to register for? *

All students should sign up at their current level. Director will advise otherwise.

Creative Dance (Wednesday 3:15 PM)

Pre-Ballet (Monday 3:15 PM)

Pre - Ballet (Friday 3:45 PM)

Ballet | Lyrical 1 | 2 (Monday 4 PM)

Ballet | Lyrical 2 | 3 (Friday 4:30 PM)

Ballet | Lyrical 3 | 4 (Friday 5:45 PM)

Ballet 2 (Saturday 9 AM)

Ballet 3 (Saturday 10 AM)

Contemporary (Tuesday + Thursday 5 PM)

Contemporary Ballet 4 | 5 (Tuesday 7 PM)

Dance Movement (Wednesday 4 PM)

Lyrical 5 (Thursday 7 PM)

Jazz 1 (Tuesday + Thursdays 4 PM)

Jazz 2 (Monday + Wednesday 5 PM)

Jazz 3 (Tuesday + Thursday 6 PM)

Jazz 3 | 4 | T (Monday + Wednesday 5 PM)

Jazz 5 (Monday 7 PM + Wednesday 6 PM)

Hippity Hop (Saturday 11 AM)

Hip Hop 1 (Saturday 12 PM)

Hip Hop 2 (Saturday 1 PM)

Hip Hop 3 (Saturday 2 PM)

Hip Hop 4 | 5 (Saturday 3 PM)

Private lessons

MIX! ROTATING STYLES (Monday 8 PM)

TEEN + ADULT BARRE + CONTEMPORARY (Wednesday 7:30 PM)

HIP HOP & JAZZ for TEENS & ADULTS (Friday 7 PM)