Dance classes for Homeschooler

Homeschooler Registration Form

* 表示必填字段

Name *

首先

最后

Age *

Parent/Guardian Name *

首先

最后

Contact Phone Number *

Email *

Please choose dance program you are going to register *

Ballet and Hip Hop got age 4-8 Ballet and Jazz for age 8 and older

Studio agreements and Policies

I give permission for images of me or my children to appear in the following *

Yes No

PHOTO and VIDEO RELEASE FORM
Inner Action Dance is excited to share information about our dance studio with the community. The best way to do that is through images of Inner Action Dance students engaged in which they may be photographed or videotaped. We are requesting your permission to use you or your children’s image.
1. The Inner Action Dance website, Youtube Channel, Wechat groups and moments, and Facebook page. I understand that these photos will be on the World Wide Web and can be seen by anyone with access to the Internet.
2. Inner Action Dance promotional materials. This includes, but is not limited to, billboards, public ads, brochures, flyers, videos, and print ads. For security reasons, students will not be identified by name unless I give permission.

Legal Guardian's Signature ( I HAVE READ ABOVE AND AGREE) *

Payment Options *

Chase Quick Pay/Zelle : inneraction1@gmail.com Cash/Check : Inner Action Dance

Question or Comment *

Please be sure to complete the registration with your payment and click the "Submit" bottom below before 6/20

Submit