There are 2 ways to register...


1) Print the registration form and mail it to Valley Dance and Fitness Inc.
(click here for printable form)

OR

2) Fill out the ONLINE REGISTRATION FORM
(With online registration you may choose to pay by mail or pay online using a credit card)
Due at Registration: First month’s tuition plus $20.00 individual or $25.00 family registration fee.

ONLINE REGISTRATION FORM
Remember to check out our multiple class discounts!

Address: City: State: Zip:
Name of parent/guardian responsible for account:
Home Phone:
Cell Phone:
Email address: (will be used for in-house communication)

Click here to view class schedule.

Student #1: New Returning Birthdate: Age:
Class type: Class Day/Time:
Class Type: Class Day/Time:
Class Type: Class Day/Time:

Student #2: New Returning Birthdate: Age:
Class type: Class Day/Time:
Class Type: Class Day/Time:
Class Type: Class Day/Time:

Student #3: New Returning Birthdate: Age:
Class type: Class Day/Time:
Class Type: Class Day/Time:
Class Type: Class Day/Time:

In case of emergency please contact:
Name:
Relationship to student:
Phone #: Alternate Phone #:
Please note any health problems we should be aware of (asthma, diabetes, hearing/vision impairments, etc.)

Waiver of liability (required)
I understand that Valley Dance and Fitness Inc. and its employees cannot be held liable for any accident or injury sustained to my dancer before/during/after lessons or performances.

If you agree to the above statement please type "_(Parent/Guardian name)_ AGREES TO THE TERMS OF THAT WAIVER OF LIABILITY" in the box below.

Date of agreement:


From time to time we may take photos for use in advertising. Please select one of the following to indicate your preference: (required)
It is okay to use my dancer's photo and name
You may use only my dancer's photo but not their name
We prefer that no names or photos be used

How did you hear about us?
Yellow Pages
Internet
Friend
Parade
Other



All new students will have a mail folder at the studio; this will be used for all printed communication - other information will be emailed. Please check these often.

Refer to the Student Handbook (available in the studio and online) for policies on classroom etiquette, payments/late charges, cancellations and annual showcase information.


You must do one of the following in order to complete your registration (please select one):

Pay online with a credit card using PayPal (screen will pop up after you Submit the form)
Mail a check to Valley Dance and Fitness Inc. (address will be provided after you Submit form)