Fall 2011 Registration Form

Fall RegistrationForm 2011

Mail Registration Form and $30.00 Fee to:  Joy's Dance Company 1024 Henry Drive Alabaster , AL. 35007

STUDENT'S NAME:                                                                                                                STUDENT'S AGE:

Parents Names:

MAILING ADDRESS:

City:                                                                               Zip Code:                                                

 CELL PHONE:                                                                                                       OTHER PHONE:

Email:

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 Summer registration fee of $30.00 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