Please complete and submit this form for each student you wish to register.

You will receive a confirmation email for your requested classes.

You will be notified if a class you requested is full.

Parent(s)/Guardian(s) Name:

Billing Address:

Suite or Apt #:

City, St, Zip:

Email:

Home Phone:

Cell/Work Phone:

Student 1 Name:

Student 1 Date of Birth:

Student 1 Class Choices:

Student 2 Name:

Student 2 Date of Birth:

Student 2 Class Choices:

Student 3 Name:

Student 3 Date of Birth:

Student 3 Class Choices:

Will you pay the summer tuition using our online payment service?

Payment Due with Registration
(or no later than May 1st)

Yes, I will pay online immediately after submitting this form so I can be registered as soon as possible.

No, I prefer to mail my Summer payment to: Dance Creations, 11182 Avery Row, Fishers, IN 46038.

Comments or questions:

How did you hear about us?:

As with any physical activity there is a risk of injury. I agree that I will not hold Dance Creations, LLC, East 91^st Street Church, or any Faculty or Instructor responsible for any injury to my child or children.

By submitting this form, you are stating that you understand and agree with the above disclaimer.

Ballet

Jazz

Tap

Musical Theater

Hip Hop

Combo Classes

Christian Dance Ministries

Creative Movement

Repertory Company

Contemporary Dance

Dance Creations, LLC   317-579-0117   Serving Fishers/Castleton/Geist   Company Information