Please print this form out.

Fill out and mail with your registration fee to :

Joy Andrews

Joy's Dance Company

1024 Henry Drive

Alabaster,AL. 35007

STUDENT'S NAME:

STUDENT'S AGE:

MAILING ADDRESS:

 

CELL PHONE:

OTHER PHONE:

EMERGENCY CONTACTS:

 

MEDICAL INFORMATION (We may need to know about diabetes,asthma,etc.)

 

CLASS YOU WISH TO TAKE:

CLASS TIME:

 

Please read the statement below and sign before mailing in with your Fall registration fee of $28.00 per child.

Note:

Joy's Dance Company will make EVERY effort to insure your child's safety .

I ,(your name)-

will not hold Joy's Dance Company or Joy Andrews responsible for any injury that may happen  to my child at Joy's Dance Company studios or while under Joy Andrews' instruction.

 

Signed:

 

Date






 

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