Registration

I give permission for my child, who is listed on this registration form, to participate in dance classes taught by ACD Dance Company, LLC. I understand that dance can be dangerous. I accept that any activity involving motion can cause serious injury. My child has had a medical examination within the last twelve months and is physically, mentally and emotionally capable in participating in the sport of dance. I agree to be responsible for any medical bills incurred resulting from illness or injury while my child is participating in dance classes with ACD Dance Company, LLC. In the event of injury or illness, every effort will be made to contact parents or guardian. If necessary, I authorize agents of ACD Dance Company, LLC to administer first aid and or/authorize medical treatment. While my child is participating in online classes with ACD, I will provide a safe dance environment for him/her. I will not hold ACD Dance Company, LLC or Angie Caulfield responsible for any risks, injury, accident, or damage, known or unknown, which may incur as a result of my child participating in dance classes in person or online. I also agree to permit Angie Caulfield and ACD Dance Company, LLC to use pictures and the likeness of my child for use to promote ACD Dance Company, LLC on the dance website and promotional materials. I confirm that I am 18 years or older and can legally act as a representative on behalf of said child. I also understand that registration is not complete without payment.

By clicking 'Submit', I agree to terms and conditions.

2023 Fall Dates
File Size:	76 kb
File Type:	doc

Fall 2023 Registration is now Open!

Terms and Conditions

Fall 2023 Class Dates

Fall 2023 Afterschool Programs