DANCE 2022-2023 ONLINE REGISTRATION

Registration opens at 12pm August 8, 2022

To register online for a BCity Reps 2022-2023 Dance Season, please review and sign the COVID release found here, and complete the registration form below (must be completed by Parent/Legal Guardian or student, if over 18 years of age).

Please fill out this registration form for each class the student would like to take.

After registering, please submit online payment by clicking here. VENMO: @bcityreps. Card, Check, and Cash Payment is also accepted at BCity Reps, prior to the start of class.

***Our students’ and staff members’ safety is our top priority. Please take a moment to ensure that you have thoroughly read and completed the COVID Release. If you do not submit this form, you will not be able to attend classes.

Any questions or concerns, please feel free to contact us.

BCity Reps Class Registration Form:

BCity Reps Terms and Conditions
By completing the registration form above, I hereby agree that BCity Reps Dance Studio, nor its agents, employees, officers nor directors shall be liable for any injuries, damages or losses sustained by the student, which are in any way related, whether directly or indirectly, to the student’s participation in all classes, workshops, parties, and special events. Please also note that any activity involving motion, rotation or height may cause accidental injury. I also authorize the BCity Reps Dance Program at BCity Reps Dance Studio to use any photographs or videotape taken of student for legitimate purposes.

Student's Full Name(required)

Phone(required)

Street Address

City(required)

Zip Code

D.O.B.(required)

Age

Grade in School:

Email Address(required)

Pant Size(required)

Emergency Contact Name/Relation(required)

Emergency Contact Number(required)

Parent/Guardian(required)

Parent/Guardian Phone Number(required)

Does the student have any known allergies, medical conditions or limitations?(required)

Names of Siblings Taking Classes

Any questions, comments or concerns?

I confirm that I have read the BCity Reps Terms and Conditions, and the BCity Reps Payment Agreement below.(required)

I confirm that I have already signed and submitted the COVID waiver. **This must be completed before registration.**(required)

By submitting this form, I certify all information is true and correct to the best of my knowledge.(required)

Payment Agreement
Registration fee and costume fee is due upon sign up. The registration and costume fee for one class is $90. If a student signs up for a second class, the deposit is an additional $70. All fees must be paid in full prior to the end of the dance year. No refunds are available once a student has attended a class. Payment is also accepted at BCity Reps, prior to the start of class. Cash or Venmo preferred. Any questions or concerns, please feel free to contact us.

**All online payments incur a service charge**

DANCE 2022-2023 ONLINE REGISTRATION

BCity Reps Class Registration Form:

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