Registration Form

Submitted by admin on Tue, 11/27/2012 - 22:56

Winter/Spring 2020 SEATTLE
January 27-May 21
no class April 13-16
Classes listed in drop-down menu

Winter 2019-20 BELLINGHAM:
November 26-February 12
no class December 24-January 7
Tuesday: 1:10-2:00 pre-ballet ages 3.5-5 at BAAY (9 weeks, $135)
Wednesday: 9:15-10:00 parent/toddler ages 18 months-3 years at Coreworks Fitness (10 weeks, $150)

Click on the class drop down menu to register. After you submit the form you will receive an email with instructions for making payment and confirming your registration was received, usually within 2 business days. If you don't see it in your inbox, please check your junk mail. Any problems with registering, please call Darrah's cell at two-zero-six-two-eight-one-nine-eight-one-five.
Please be sure to read the policy regarding parents viewing classes on the FAQ page before submitting registration.
DC=Instructor is Dakota Crist HS=Instructor is Hayley Shannon
DB=Instructor is Darrah Blanton

Class *

Student Name *

Date of Birth *

Month

Day

Year

Phone (Cellular) *

Phone (Work) *

Phone (Home) *

Phone (Emergency) *

Parents’ Names *

Address 1 *

Address 2

City *

Zip *

Email address *

Please describe any special needs or health history you would like me to be aware of

Release Form *

I agree to let my child participate in the dance program of Darrah Blanton, and hereby release Darrah Blanton, Dakota Crist and Hayley Shannon from liability for any injury my child may incur as a result of their participation.

Release signature *

Type the name of the parent or guardian completing the form.

Release Date *

Month

Day

Year

Photo Release *

Allow the use of photographs and/or video of my child

Please refrain from using photographs and/or video of my child

Periodically the website is updated with photos and/or video. Please indicate above whether you would allow photos and/or video of your child to appear online at www.darrahblantondance.com and to be used in printed materials for advertising purposes.

Refund Policy: Refunds/credits are not available after August 20 for fall classes, after November 15 for Winter/Spring classes, or after May 1 for Summer classes. Cancellations prior to these dates will incur a $50 cancellation fee per registration. *

I understand and agree to the refund policy.

How did you hear about us? *

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