2025-2026 Company Team

Student's Name *

First Name

Last Name

Parent or Guardian #1 *

First Name

Last Name

Cell Phone *

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Work Phone

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Alt Phone

(###)

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Parent or Guardian #2

First Name

Last Name

Cell Phone

(###)

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Check if same as parent or guardian

Parent/Guardian #1

Parent/Guardian #2

Name

First Name

Last Name

Cell Phone

(###)

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Liability Waiver and Policies Agreement *

By checking this box, I acknowledge and accept all risks associated with dance and fitness activities at Tutus and Tennis Shoes Dance Studio. I release the studio and its staff from all liability and authorize emergency medial care if needed. I agree to follow the studio's policies and code of conduct and will disclose any relevant medical conditions.

Photo/Video Waiver

By checking this box, I give Tutus and Tennis Shoes Dance Studio permission to photograph and video my child during classes and events for use on social media and promotional materials. I understand this consent may remain online even if I revoke consent in the future. I acknowledge that no compensation will be provided, and I release the studio from liability. I confirm I am the child's parent/guardian and have read and agree to these terms.

Company Team *

2025-2026