Registration Form Registration FormTell us about the student:Student's First NameStudent's Last NameStudent's AgeStudent's Birth DateStudent's AgeHealth concerns?Guardian #1 informationGuardian #1 First NameGuardian #1 Last NameGuardian #1 AddressAddress Line 1Address Line 2CityStateZip CodeGuardian #1 EmailGuardian #1 PhoneGuardian #2 informationGuardian #2 EmailGuardian #2 PhoneEmergency ContactsAdditional items Please initial the following policies and procedures. If you have any questions prior to registration Please feel free to contact Academy of Dance at 360-708-5902.I acknowledge that I have read the terms and conditions of student registration. Yes, I agreeAcademy of Dance will occasionally take pictures/video during class. I acknowledge I need to sign the AOD Media Release Yes, I agreeAll tuition must be up to date in order to pick up costumes in Spring. Costumes are special ordered, are non refundable, and take several months to receive. If you are unable to participate in recital please contact Yvonne or your instructor at this time. If you order a costume and at a later date are unable to attend recital, it is parent’s responsibility to pick-up paid for costumes prior to the Formal Spring Recital Date. If Costume(s) are not picked up by this date, they may no longer be available to pick up and cost is forfeited. Yes, I agreeMessage (if any)Submit Form