We are currently not accepting new student registrations. Please check back for our summer schedule.

New Student Registration

Student Name

First Name

Last Name

Date of Birth

YYYY

Parent Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Any Dance Training?

Allergies/Medical Conditions

Class(es) your dancer is registering for?

Terms & Conditions (sign name in box below)

I agree and understand that registration and tuition payments are non-refundable. I understand that the registration fee is due at the time of registration to hold my dancer's spot in class or classes. I understand and give permission for my child to take classes at Equilibrium Dance Academy, LLC. I understand that there is a possibility of physical injury. I hereby waive, release, and forever discharge all rights and claims for damages which may arise now or in the future against any Equilibrium Dance Academy, LLC representative. I authorize Equilibrium Dance Academy, LLC to use their best judgement in any emergency. I hereby give permission for my child to be used in photographs and/or videos for promotional and marketing purposes. If you wish to cancel your enrollment, you may cancel by calling or emailing Equilibrium Dance Academy, LLC. I understand if I cancel my child's enrollment that fees are non-refundable but can be used as credit.