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New London Summer 2026 Registration
Celebration School of Dance 136 W. Main, New London, Iowa
Student’s Full Name
*
Student’s current age
*
Allergies/Medical Conditions
Anything you would like instructors to know about your child?
Parent/Guardian Name (Emergency contact name & phone # for adult students)
*
Parent/Guardian cell # (your cell # for adult students)
*
Classes will be held every Thursday in June. Please select desired classes
Classes will be held every Thursday in June. Please select desired classes
Ages 2-4 Combo (Dance & Tumbling) 5:00-5:30 pm
Tumbling I & II 5:00-5:30 pm
Beginner Clogging 5:30-6:00 pm
Tumbling III & IV 5:30-6:00 pm
Adult Tumbling 6:00-6:30 pm
Beginner Hip Hop 6:30-7:00 pm
Line Dancing (Improver/Intermediate) 7:00-8:00 pm
TUITION & PAYMENT AGREEMENT Tuition reserves your student’s spot in class and is due the first class of each month regardless of attendance. Missed classes are non-refundable. If classes are canceled more than two times in an 8-month period (due to weather or instructor emergencies) make up classes will be scheduled. Recital costumes will be billed separately. If your account has a remaining balance from a previous season, payment in full will be required before registering for an upcoming session.
*
TUITION & PAYMENT AGREEMENT Tuition reserves your student’s spot in class and is due the first class of each month regardless of attendance. Missed classes are non-refundable. If classes are canceled more than two times in an 8-month period (due to weather or instructor emergencies) make up classes will be scheduled. Recital costumes will be billed separately. If your account has a remaining balance from a previous season, payment in full will be required before registering for an upcoming session.
I understand & agree
Celebration School of Dance may use photos/videos for: * Studio social media * Website * Promotional materials * Recital programs
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Celebration School of Dance may use photos/videos for: * Studio social media * Website * Promotional materials * Recital programs
A
Yes, full permission
B
No, I do not give permission
C
Other, I will discuss with staff
MEDICAL AUTHORIZATION In the event of illness or injury, if a parent/guardian or emergency contact cannot be reached, I authorize studio staff to seek appropriate medical treatment for my child/myself.
*
MEDICAL AUTHORIZATION In the event of illness or injury, if a parent/guardian or emergency contact cannot be reached, I authorize studio staff to seek appropriate medical treatment for my child/myself.
I understand & agree
ASSUMPTION OF RISK / HOLD HARMLESS AGREEMENT Dance and tumbling involve physical activity including, but not limited to, stretching, jumping, balancing, spotting, and tumbling skills, which carry inherent risk of injury. I voluntarily assume all risks associated with participation. I agree to release, indemnify, and hold harmless Celebration School of Dance, its owners, instructors, assistants, and volunteers from claims arising from participation, except where prohibited by law.
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ASSUMPTION OF RISK / HOLD HARMLESS AGREEMENT Dance and tumbling involve physical activity including, but not limited to, stretching, jumping, balancing, spotting, and tumbling skills, which carry inherent risk of injury. I voluntarily assume all risks associated with participation. I agree to release, indemnify, and hold harmless Celebration School of Dance, its owners, instructors, assistants, and volunteers from claims arising from participation, except where prohibited by law.
I understand & agree
I acknowledge that this electronic signature has the same legal effect as my handwritten signature.
*
Signature
Submit