DBD Redefine
DBD Redefine Registration
Parents First and Last Name
*
Phone Number
*
Email
*
How Many Kids
*
1st Dancers Full Name
*
2nd Dancers Full Name
3rd Dancers Full Name
Registration
*
Class Registration
— $50.00
Add Family Member
— $25.00
Estimated total: $0.00
If you know the specific class (or classes) you would like to register for please provide them below
Additional Notes or Questions
I/We understand that payments are made the first week of every month. I/We understand that classes are paid for on a monthly basis even if my dancer misses a class during the month. Prices do not change based on attendance. I/We understand that if we decide to stop attending classes there will not be a refund for the current month if in session, any withdrawals must occur at the start of the month in order to avoid payment. *Note: If you are paying with a credit card there will be a 3% service fee added to your payment in order to cover the cost of the machine. We also accept cash and checks.
I/We understand and appreciate that participation in dance constitutes a risk to my/our son/daughter of possible injury, including serious injury. In consideration of permitting my/our son/daughter to participate in dance at Donna Brum Dancers/Redefine, A Movement Company I/We: Voluntarily and knowingly recognize, accept and assume the risks associated with my/our son’s/daughter’s participation in classes and dance. Agree to and do herby release Donna Brum Dancers/Redefine, A Movement Company its agents and employees for any liability whatsoever for any injury to my/our son/daughter on account of his/her participation in classes at Donna Brum Dancers/Redefine, A Movement Company, and I/We agree to hold Donna Brum Dancers/Redefine, A Movement Company, its agents and employees harmless from any damages (including attorneys’ fees) due to any injury sustained by my/our son’s/daughter’s participation in classes.
Payment
Subtotal:
$0.00
Convenience fee (4%):
$0.00
Total:
$0.00
Name on Card
Card Number
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CVV
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