Registration Form

 
 
Name *
Name
Phone Number *
Phone Number
Address *
Address
Date of Birth *
Date of Birth
*Must be 18 years of age or older at the start of the first class in order to register
Season of Registration *
Which season are you currently registering for?
Are you a returning company member? *
How many years of dance experience do you currently have?
I am currently interested in auditioning as: *
Please select all that apply
PLEASE READ THIS RELEASE AND WAIVER OF LIABILITY (“RELEASE”) CAREFULLY AND IN ITS ENTIRETY. IT IS A BINDING LEGAL DOCUMENT AND BY SIGNING IT YOU ARE VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE DANCE MOVEMENT WORCESTER, LLC (“DMW”).
Acknowledgment of Liability Release *
I have read and agree with the above liability release
Registration Fee Payment *
Confirm payment of Registration Fee