Childs Name

First Name

Last Name

D.O.B.

Parent/Guardian Name

First Name

Last Name

Email Address

Emergency Phone Number

(###)

###

####

Attending Class With

I give my child permission to participate in dance class and am aware that Stars of Tomorrow will not be responsible for any injuries sustained during normal dance activity. I acknowledge my child is in reasonable health and can be an active participant in physical activities.

I agree