walla walla DANCE company

Student Name *

First Name

Last Name

Date of Birth *

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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.

SESSION I: JUNE 30 – JULY 2 → MON, TUES, WED

$60 / venmo @wwdco2-99362

10:00am – 11:00am → Kids Dance Sampler (ages 4–7)

11:00am – 12:00pm → Kids Dance (ages 7–10)

12:00pm – 1:00pm → Rotating Styles (ages 11+, level 1–2)

1:00pm – 2:00pm → Mon: Jazz, Tues: Lyrical, Wed: Hip Hop (level 3–5)

7pm - 8pm Wednesdays! Evening class for teen dancers / level 4|5 ($20)

SESSION II: JULY 8 – 10 → TUES, WED, THURS

$60 / venmo @wwdco2-99362

10:00am – 11:00am → Kids Dance Sampler (ages 4–7)

11:00am – 12:00pm → Kids Dance (ages 7–10)

12:00pm – 1:00pm → Rotating Styles (ages 11+, level 1–2)

1:00pm – 2:00pm → Mon: Jazz, Tues: Lyrical, Wed: Hip Hop (level 3–5)

7pm - 8pm Wednesdays! Evening class for teen dancers / level 4|5 ($20)

SESSION III: JULY 22 – 24 → TUES, WED, THURS

$60 / venmo @wwdco2-99362

10:00am – 11:00am → Kids Dance Sampler (ages 4–7)

11:00am – 12:00pm → Kids Dance (ages 7–10)

12:00pm – 1:00pm → Rotating Styles (ages 11+, level 1–2)

1:00pm – 2:00pm → Mon: Jazz, Tues: Lyrical, Wed: Hip Hop (level 3–5)

7pm - 8pm Wednesdays! Evening class for teen dancers / level 4|5 ($20)

SESSION IV: JULY 29 – AUG 31 → TUES, WED, THURS

$60 / venmo @wwdco2-99362

10:00am – 11:00am → Kids Dance Sampler (ages 4–7)

11:00am – 12:00pm → Kids Dance (ages 7–10)

12:00pm – 1:00pm → Rotating Styles (ages 11+, level 1–2)

1:00pm – 2:00pm → Mon: Jazz, Tues: Lyrical, Wed: Hip Hop (level 3–5)

7pm - 8pm Wednesdays! Evening class for teen dancers / level 4|5 ($20)

SESSION V: AUG 5 – AUG 7 → TUES, WED, THURS

$60 / venmo @wwdco2-99362

10:00am – 11:00am → Kids Dance Sampler (ages 4–7)

11:00am – 12:00pm → Kids Dance (ages 7–10)

12:00pm – 1:00pm → Rotating Styles (ages 11+, level 1–2)

1:00pm – 2:00pm → Mon: Jazz, Tues: Lyrical, Wed: Hip Hop (level 3–5)

7pm - 8pm Wednesdays! Evening class for teen dancers / level 4|5 ($20)

SESSION VI: AUG 12 – AUG 14 → TUES, WED, THURS

$60 / venmo @wwdco2-99362

10:00am – 11:00am → Kids Dance Sampler (ages 4–7)

11:00am – 12:00pm → Kids Dance (ages 7–10)

12:00pm – 1:00pm → Rotating Styles (ages 11+, level 1–2)

1:00pm – 2:00pm → Mon: Jazz, Tues: Lyrical, Wed: Hip Hop (level 3–5)

7pm - 8pm Wednesdays! Evening class for teen dancers / level 4|5 ($20)