Registration

Register for Dance Radiance

Complete this form for up to four students. Class placement is confirmed separately based on age, experience, enrollment, and availability.

Before You Begin

Submitting this form requests enrollment but does not guarantee class placement. Dance Radiance will contact you to confirm the class, schedule, tuition, fees, and any remaining information.

No payment is collected through this form.

Do not fill this out:

Parent or Legal Guardian

First name

Last name

Phone

Street address

City

State

ZIP code

Emergency Contact

Full name

Relationship

Primary phone

Alternate phone

Students

Student 1 is required. Students 2–4 are optional. Review the tentative class schedule before choosing a requested class.

Student 1

Full name

Birthdate

Age / grade

Requested class or classes

Medical conditions, allergies, injuries, medications, accessibility needs, or accommodations

Student 2 Optional

Full name

Birthdate

Age / grade

Requested class or classes

Medical conditions, allergies, injuries, medications, accessibility needs, or accommodations

Student 3 Optional

Full name

Birthdate

Age / grade

Requested class or classes

Medical conditions, allergies, injuries, medications, accessibility needs, or accommodations

Student 4 Optional

Full name

Birthdate

Age / grade

Requested class or classes

Medical conditions, allergies, injuries, medications, accessibility needs, or accommodations

Participation Authorization

I am the parent or legal guardian of the student(s) listed above and give permission for the student(s) to participate in Dance Radiance dance, tumbling, cheer, conditioning, rehearsal, performance, and related activities.

I acknowledge this participation authorization.

Emergency Medical Permission

If I cannot be reached in an emergency, I authorize Dance Radiance personnel to provide reasonable first aid and contact emergency medical services when reasonably believed necessary. I understand that I am responsible for resulting medical costs.

I acknowledge this emergency medical permission.

Tuition and Studio-Policy Acknowledgment

I have reviewed the current Tuition & Studio Policies, including the $40 family registration fee, monthly tuition, family discounts, costume fees, payment due dates, late fees, and payment methods. I understand that class placement is subject to enrollment, age, ability, safety, and director approval.

I acknowledge and agree to the tuition and studio policies.

Costume Payment Preference

This selection applies to students participating in the annual recital. The costume fee is used exclusively to purchase recital costumes.

$10 per month during the dance season $70 paid in full at the beginning of the season Not participating in the recital or need to discuss this with the studio

Separate Photo and Media Choice

Choose one. Declining promotional media permission does not prevent a student from registering.

Yes, I give Dance Radiance permission to use respectful photos or videos of my student(s) for official studio promotion and communication. No, I do not give promotional photo or media permission.

Parent or Guardian Signature

Typed legal name

Date

I understand that typing my name and submitting this form represents my electronic signature and acknowledgment of the selections and statements above.

I certify that the information I provided is accurate to the best of my knowledge and that I am the parent or legal guardian authorized to register the student(s) listed.

Review Registration Terms