COMPANY CLASSES REGISTRATION

DANCER #1 *

Name as it should appear in the show program. Only first and last names will be listed.

DANCER #1 – List a nickname, if it is preferred in class.

Age as of 9/1/2025 *

Grade for 2025-2026 School Year *

Birthdate

School *

List the Company class assignment for DANCER #1 *

Dancer Email

Does DANCER #1 have any medical issues or allergies? Are there any other issues regarding your dancer that would be helpful for us to be aware of? If so, please describe in full detail below.

YES

Additional TUESDAY classes for DANCER #1

Additional WEDNESDAY classes for DANCER #1

Additional FRIDAY classes for DANCER #1

N/A

BALLET 1

CONTEMPORARY 2

CONTEMPORARY 3

NUTCRACKER SHOWCASE (for COMPANY dancers also taking BALLET and/or ACRO LEVELS 5+)

NARNIA (South Hills Performing Arts)

IF YOU ARE NOT REGISTERING A SECOND DANCER, PLEASE TYPE N/A IN REQUIRED FIELDS:

DANCER #2 *

Name as it should appear in the show program. First and last only.

DANCER #2 – List a nickname, if it is preferred in class.

Age as of 9/1/2025 *

Grade for 2025-26 *

Birthdate

School *

List the Company class assignment for DANCER #2 *

Dancer Email

Does DANCER #2 have any medical issues or allergies? Are there any other issues regarding your dancer that would be helpful for us to be aware of? If so, please describe in full detail below.

N/A

YES

Additional TUESDAY classes for DANCER #2

Additional WEDNESDAY classes for DANCER #2

Additional FRIDAY classes for DANCER #2

If you have a dancer with a DECLARE or REVERE class assignment, would you be willing to come to a 3:30-4:30 Monday class, if needed?

N/A

YES

FAMILY INFORMATION:

Parent’s Name(s) *

Email Address *

Preferred Phone Number *

Street Address *

City, State, Zipcode *

What church does your family attend? *

First-year families, please tell us how you heard of GCDC. If someone referred you, please include their name.

Registration is not complete, and your dancer’s spot is not secured, until the registration fee is paid. How will you be making payment?

ONLINE – You will be redirected after you submit your form. A convenience fee applies.

AT STUDIO – Bring payment to the studio in the next 48 hours to secure your spot.

MAIL – Postmark your payment within the next 48 hours to secure your spot. GCDC, 3047 Industrial Blvd. Bethel Park, Pa 15102

Read the following seven items of the COMPANY CONTRACT carefully before agreeing.

ARRIVAL/PICK UP PROTOCOL: Unless other arrangements have been made, dancers may arrive no earlier than 15 minutes before their class begins and should be picked up within 10 minutes after class ends. If your dancer is enrolled in multiple classes with breaks in between, please ensure they are prepared to stay occupied in a quiet, respectful manner. Dancers who are disruptive will be required to have a parent present. *

I understand and agree.

ATTENDANCE EXPECTATIONS: Company dancers are committed to attending regularly and being punctual. Ideally, your child will only miss 1-2 classes for the entire year. Missing two classes in a row, or any absence in the months of January – April, will require a private lesson before your child’s next class. Private lessons are $5 each and are given by a teen dancer.

I understand and agree.

PRACTICE EXPECTATIONS: Company dancers are to be prepared for class each week, having practiced at home using videos and music on their portal. While we expect very little from our Pre-Company and Adore, our expectation for preparedness increases with age. (Note that outside practice is encouraged but not required in our Studio classes. BEFORE SIGNING UP FOR COMPANY, please determine if our Studio Expectations are more in line with your family dynamic.) *

I understand and agree.

SPRING SHOW PARTICIPATION: In order to participate in the Spring Show, dancers must attend all mandatory rehearsals in their entirety. Until the show date and rehearsals have been secured, please keep your spring schedule flexible. Please do not schedule any vacations in April. All tuition and fees must be paid in full. *

I understand and agree.

SPRING PRODUCTION COSTUMES: We understand that modesty standards can differ from family to family. As a heads up, please note that your dancer’s group may be assigned a costume with cami straps (it will not show cleavage). If this is concerning to you, consider signing up for one of the Studio classes instead. The May Showcase costumes will have, at minimum, a tank or short sleeve leotard as part of the costume.

I understand and agree.

DRESS CODE REQUIREMENTS: Dancers are to attend classes in the full uniform that is designated for the current season. Rentals are available if a piece is forgotten. Hair is to be secured off of the face and neck. For the Spring Show, dancers must abide by the dress code set for their group. Hair is to be a natural color. Until hairstyle is announced, please avoid short haircuts. Because all jewelry is to be removed, please avoid first-time ear piercing around showtime. *

I understand and agree.

COMPLETING THE DANCE SEASON: By registering your dancer, you are committing to finishing the dance season for ALL CLASSES you are marking on your registration form above. If you do drop out of any class and would like to register for that class in a future season, you will be required to pay the entire year’s class fee up front (non-refundable) to secure your spot. *

I understand and agree.

GCDC WAIVER, September 2025-August 2026. Any questions should be directed to Danielle Black prior to registration.

Do you verify that you are the parent or legal guardian of the children listed above?

YES

In the event that the parent or guardian listed above can not be contacted, who should be contacted?

What is the relationship of your emergency contact to your dancer.

Emergency contact phone number

I understand that in the following waiver items that Grace Christian Dance Company LLC, doing business as Grace Christian Dance Center, Selah Christian Arts Center LLC, Danielle Black, and all employees, volunteers, and independent contractors affiliated with these entities will hereinafter be referred to as the ‘Released Parties’.

I agree

If I cannot be reached in the event of a serious injury or illness, I authorize the Released Parties to seek emergency medical treatment on my behalf. I understand and agree that I am financially responsible for any medical services rendered, including any costs that exceed the coverage provided by my health insurance plan.

I agree

I am aware that participating in any dance classes and acrobatic dance/tumbling (acro-dance) involves inherent risks and hazards. I freely accept and fully assume all such risks, dangers, and hazards, as well as the possibility of bodily or personal injury, property damage, or loss resulting from such activities. I voluntarily agree to release the Released Parties from any and all liability for any loss, damage, injury, or expense that I, my next of kin, successors, or dependents may suffer or incur as a result of participation in classes, camps, demonstrations, performances, or other physical activities, due to any cause whatsoever.

I agree

I understand and agree that the Released Parties are not responsible for any lost, stolen, or misplaced personal property.

I agree

I hereby grant the Released Parties permission to use my and/or my child’s likeness in photographs and video recordings. These images may be used on gracechristiandance.com, social media platforms (including but not limited to Facebook and Instagram), or in other promotional materials associated with Grace Christian Dance Company LLC. I understand that students’ names and personal information will not be published. I further acknowledge and agree that these images will become the property of the Released Parties, and I irrevocably grant permission to edit, copy, exhibit, publish, or distribute them for any lawful and appropriate purpose.

I agree

By typing my name below I acknowledge that I have read the foregoing waivers and expectations and that I understand all content; that I am the parent or guardian of children listed above and I am fully competent to give my consent; that I have been sufficiently informed of the risks involved and give my voluntary consent in signing these Liability Release Waivers as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation.

This form is for dancers that are taking Company classes in addition to any Studio classes (Acro-dance, Ballet, or Contemporary). New students, please make sure you understand all of the Company requirements and contact us for a class assignment before registering.

Steps to securing your dancer’s spot in Company classes and any additional Studio classes:

Fill out the Registration Form and Waiver below and click submit.

You will receive a confirmation email when your dancer’s spot is secured.

Read the following seven items of the COMPANY CONTRACT carefully before agreeing.

GCDC WAIVER, September 2025-August 2026. Any questions should be directed to Danielle Black prior to registration.