Online Registration

You can use this form to register for summer dance camps, special workshops, and classes. You are also welcome to register by mail, phone, or by stopping in to one of our Open House and Registrations.

Once this form is submitted you will be taken to the online payment page, where you can add your classes/fees to your cart and pay now, if you want. If you would prefer to pay by check you can leave the online payment page and instead mail it to: Elevation Dance Inc, P.O. Box 76, Churchville, NY 14428. There is also the option to pay cash or check if you stop in at the studio during business hours.

Please note that there is no registration fee for summer camps or special workshops. The Christian Dance Troupe (CDT) is a FREE class as long as you are registered for at least one other class. If you only wish to register for CDT then monthly tuition will be charged for 1 class. Competition classes are by audition only. Reflections and Opening Number are by invitation only.

If you have an questions please contact us at 585-293-3670 or email us at admin@elevationdancestudio.org.

Parent's Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

First Student's Name

$15 registration fee

First Name

Last Name

Student's Birthdate

YYYY

Any health concerns? Please list all physical and mental concerns

Classes student is registering for

Class day, time, type of dance, and teacher. (Ex: Mon 4:30 Competition Hip Hop - Miss Crisanna)

Second Student's Name

$10 registration fee

First Name

Last Name

Second Student's Birthdate

YYYY

Any health concerns?

Classes student is registering for

Class day, time, type of dance, and teacher. (Ex: Mon 4:30 Competition Hip Hop - Miss Crisanna)

Third Student's Name

First Name

Last Name

Third Student's Birthdate

YYYY

Any health concerns?

Classes student is registering for

Class day, time, type of dance, and teacher. (Ex: Mon 4:30 Competition Hip Hop - Miss Crisanna)

Please select one:

I give Elevation Dance permission to use photos of my child on any media for advertising or promotional activities.

Yes

I understand and agree that participating in dance class, training, workshop, rehearsal or performance, there is a possibility of physical injury. I agree to not hold Elevation Dance Inc., any dance teacher, instructor, choreographer, trainer, or facilities liable for any injury including, but not limited to: personal injury, illness, disability, loss, or death that may occur before, during, or after classes, workshops, performances, and rehearsals. By signing this release form, I/my child assumes all risks related to the use of any and all spaces used for dance classes, workshops, and rehearsals.