Spokane Elite Dance Studio Online Registration

Registration

Already a customer? Click here to login.

Welcome to Spokane Elite Dance Studio! We hope to see you in class soon!

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Last Name (of Dancer) Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Additional Info

Emergency Contact Info

Contact #1

Primary Contact First Name*

Last Name *

Relationship to Dancer*

How Can We Contact You?

Home Phone *

Work #

Cell # Receive Text Message Notifications

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Secondary Contact First Name

Last Name

Relationship to Dancer

How can we contact you?

Home Phone

Work #

Cell # Receive Text Message Notifications

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

School

Grade Level

Disabilites

Allergies

Medications

Once you have submitted your registration you will receive an email confirmation. Our team will set up your classes and account and email you again when that is finished!

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

School

Grade Level

Disabilites

Allergies

Medications

Once you have submitted your registration you will receive an email confirmation. Our team will set up your classes and account and email you again when that is finished!

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

School

Grade Level

Disabilites

Allergies

Medications

Once you have submitted your registration you will receive an email confirmation. Our team will set up your classes and account and email you again when that is finished!

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

School

Grade Level

Disabilites

Allergies

Medications

Once you have submitted your registration you will receive an email confirmation. Our team will set up your classes and account and email you again when that is finished!

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

School

Grade Level

Disabilites

Allergies

Medications

Once you have submitted your registration you will receive an email confirmation. Our team will set up your classes and account and email you again when that is finished!

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Release of Liability

I have chosen to participate, or allow my minor to participate, in the registered activity ("Activity"), and recognize the possibility of physical injury associated with this Activity. I hereby freely assume the above-mentioned risks as well as other risks not listed that are part of this Activity, and any harm, injury or loss that may occur to me or my property as a result of my participation in the Activity or during any transportation to or from the Activity.

On behalf of myself, or as the legal parent or guardian of a minor under 18 years old, I hereby release and forever discharge and shall defend, indemnify, and hold harmless, Spokane Elite Dance Studio LLC, its owners, employees, agents, contractors, operators, providers of any equipment, and land owners ("the Released Parties") from any and all liability, claims, demands, judgments, damages, costs, expenses (including without limitation attorneys' fees and court costs), actions, causes of action or rights of action, of whatever nature, character or description, for personal injury, property damage or death that arise from, are related to or are in any way connected with the Activity. This release includes claims for the negligence of the Released Parties and claims for strict liability for abnormally dangerous activities. This release does not extend to claims for gross negligence, intentional or reckless misconduct, or any other liabilities that Washington law does not permit to be excluded by agreement. I also agree not to sue or make a claim against the Released Parties for death, injuries, loss or harm that occur during the Activity or are related in any way to the Activity.

I agree that the purpose of this agreement is that it shall be an enforceable release of liability and indemnity as broad and inclusive as is permitted by Washington law. I agree that if any portion or provision of this agreement is found to be invalid or unenforceable, then the remainder will continue in full force and effect. I also agree that any invalid provision will be modified or partially enforced to the maximum extent permitted by law to carry out the purpose of the agreement.

I've read the above and agree.

I've read the above and agree.

Medical Emergency

The undersigned gives permission to Spokane Elite Dance Studio LLC, its owners, employees and operators to seek medical treatment for the participant in the event they are not able to reach a provided medical contact, parent or guardian. I gave advised Spokane Elite Dance Studio LLC in writing of any physical or mental problems, restrictions, or conditions related to the participant. In absence of any written notice I declare the participant to be in good physical and mental health.

I've read the above and agree.

I've read the above and agree.

Commercial Use Release

On behalf of myself, or as the legal parent or guardian of a minor under 18 years old, I hereby grants to Spokane Elite Dance Studio LLC, its employees, contractors, and assigns, the right to take photographs and/or video images of the participant in connection with the registered activity, and to copyright, use and publish the same in print and/or electronically with or without participant's name, for any lawful purpose, including example publicity, illustration, advertising and web content.

I've read the above and agree.

I've read the above and agree.

Studio Policies

I have read through the Studio and Payment Policies as listed in the registration packet under the Parent Information tab of the studio website.

I've read the above and agree.

I've read the above and agree.

Payment Information

Tuition is posted the first of each month and is due by the end of each month. Families who opt to pay Monthly must have an updated credit card on file and select an auto-pay date of the 1st, 15th or 25th for Spokane Elite Dance Studio LLC. to withdraw on. All payments are non-refundable, and any outstanding balance not paid by the end of the month will receive a ten dollar ($10.00) late fee. Any returned checks or payments will incur a ten dollar ($10.00) service fee. Spokane Elite Dance Studio LLC. reserves the right, in its sole discretion, to take any legal action necessary against myself as the participant, or as the legal parent or guardian of a minor under 18 years old, for non-payment of fees otherwise due and owing, including associated debt sale or assignment to, and the use of, third party collection services.

I've read the above and agree.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments

Payment Information

Please fill out ONE of the following Payment Methods

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

City

State

Zip

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number