Step to the Rhythm Dance Academy - A Family of Dancers!
 
Registration Form
 
Please complete the form below. After submitting your information, please click the Payment link on the right. If you wish to pay with cash or check you may fill out the form and pay the day of the first class.
Student's name:
Address:
City:
State:
Zip code:
Student's birthdate:
Phone #:
Emergency Contact #:
Email:
Parent/Guardian name:
Parent/Guardian Birthday:
Class
Class #2
Class #3
Terms & Conditions below
I agree
Terms & Conditions:   I agree to provide medical insurance for the above named student and will not hold Step To The Rhythm or its agents or employees liable in the event of any emergency or injury.  If I am not reached in an emergency, I give my permission to Step To The Rhythm staff to render or act in my behalf to obtain emergency medical treatment for this student for any illness or injury that may occur while attending the studio.