STUDIO DANCER REGISTRATION

DANCER #1 *

What name would your dancer like to be called in class?

Age by 9/1/26 *

Grade for 2026-2027 *

Birthdate *

School *

Does DANCER #1 have medical issues or allergies? Is there any additional information regarding your dancer that would be important for us to know?

What MONDAY classes will DANCER #1 be taking? *

N/A

PRE-COMPANY

CONTEMPORARY 3

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

DANCER #2

What name would your dancer like to be called in class?

Age by 9/1/26 *

Grade for 2024-25 *

Birthdate *

School *

Does DANCER #2 have medical issues or allergies? Is there any additional information regarding your dancer that would be important for us to know?

What MONDAY classes will DANCER #2 be taking? *

N/A

PRE-COMPANY

CONTEMPORARY 3

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 – After you click submit, there will be a message with a link to pay online to secure your spot.

AT STUDIO – Bring payment to the studio as soon as possible. Your spot is not secured until we receive your payment.

Read the following items carefully before agreeing.

ARRIVAL/PICK-UP PROTOCOL: Dancers may not be dropped off more than 15 minutes before their own class begins. This includes siblings and applies even when a different sibling has an earlier class. Students should be picked up within 10 minutes after their final scheduled class. If a student has multiple classes in one evening and a wait in between those, they are expected to stay quietly occupied and respectful of others. If a dancer is unable to do so, a parent will be required to remain on-site during the break.

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 2026-August 2027: 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 signing below I acknowledge that I have read the foregoing waivers and 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.

If you are human, leave this field blank.

Steps to securing your dancer’s spot in Studio classes:

Fill out the Registration Form and Waiver below and click submit. If you’re unsure about your dancer’s assigned level, please contact us.

Pay the registration fee.
All studio families are required to pay an annual registration fee. You will need to pay the registration fee as soon as possible to guarantee your dancer’s spot in class. The registration fee is non-refundable.

$30 ($25 cash/check) first dancer. $5 for every additional sibling.

If you are registering for a waitlisted class, you must pay the registration fee in order to be placed on the waitlist. We will refund the fee if you do not get into the class by the first week in October.

You will receive a confirmation email listing the classes in which your dancer has secured a spot.

Read the following items carefully before agreeing.

GCDC WAIVER, September 2026-August 2027: Any questions should be directed to Danielle Black prior to registration.