Online Registration Form

Registration Form

Below you will find our Online Registration Form. You can fill this out and click the submit button, and it will reach us right away. Please keep in mind, that due to preparations for seasonal performances, there are cut offs during the year for the semester. If you have any questions about this form, or how our semester schedules work, please don’t hesitate to CONTACT US, and we’ll be happy to fill you in on all the details.

New Student Registration Form

Child Section

Please fill out your child's Information here:

First Name

Last Name

Age

Child's Grade

Child's Birthdate

Parent/Guardian Section

Please fill out the Parent/Guardian Information here:

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Home Phone

Mobile Phone

Work Phone

Email

Emergency Contact Information

Please tell us about your Emergency Contact

Emergency Contact Name

Relationship

Phone Number

Medical Issues and Experience

Please list any Medical Issues, and tell us about your child's Dance Experience:

List any Medical Problems (if any)

Dance Experience

Release of Liability

Please read, check the box to acknowledge and sign below:

RELEASE OF LIABILITY

I, the undersigned parent or legal guardian, do hereby grant any permission for my son/daughter, a minor, or myself as a student, to participate in any and all classes, planned activities, and programs, offered by the Time and Tide Dance Company operated by Laura Brandon.

I do hereby release the Time and Tide Dance Company, Laura Brandon, its employees, and its representatives of all liability and claims of whatever kind and nature (including, but not limited to, injuries and death, and COVID-19) arising out of or resulting from the participation of my son/daughter/self in activities sponsored by the Time and Tide Dance Company.

It is further understood that I hereby authorize the Time and Tide Dance Company, its employees, or its representatives to secure the necessary services for my son/daughter/self in the event of an accident or illness. If necessary, I give my permission for him/her to be evaluated, diagnosed, treated, and medicated by licensed medical personnel in accordance with standard medical practice. Further, I, the undersigned, will be solely responsible for the payment of those services.

I have read and agree to the Terms and Conditions and Privacy Policy, I agree that my typed name serves as my legal signature for this registration and release form.

SIGNATURE

DATE

By typing your full name above, you agree that this serves as your legal signature and is binding under applicable law.

BENEFITS OF

A Dance Program

Great Social Environment

To bring the Arts to a small community that is losing so much in music, theater and dance

Experience and Interaction

It expands your child’s experiences and broadens their knowledge of a performance environment

Teaches Discipline and FUN!

They are introduced to artistic discipline in an environment that is fun and supportive!

WHY NOT REGISTER

For Classes?

BROWSE CLASSES