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Registration Form

On this day _________________, I (We) ______________________________________________
                        (date)                                            (print participant name)

Residing at ______________________________________________________________________
                  (street address)                (City)               (State)                         (Zip Code)

Have enrolled in the___________________________________________class being offered by
                               (Day)          (time)         (class) for multiple classes attach sheet
United Dance. I(We) do hereby indemnify United Dance it's administrator, representative, and from all claims, losses or expenses which may arise out of or as a result of my (our) participation in the class.  The owners and or leases of the premises where this class is conducted shall also be held free from and claim of personal loss injury.

I understand that a $5.00 LATE FEE will be charged on any payments received 2 weeks after the beginning of a session.  I understand that a $15.00 RETURNED CHECK charge will assessed for any returned checks.  I also understand that there will be NO REFUNDS for classes missed unless a Doctor's written orders are presented.

SIGNED:________________________    PRINTED:________________________________
(Signature-Parent/Guardian if under 18)                       (Female Guardian or Parent)

                                                            PRINTED:__________________________________
                                                                             (Male Guardian or Parent)

PHONE:________________________      BIRTHDATE:_______________________________

WORK PHONE:____________________   E-MAIL:__________________________________

CELL PHONE______________________   HEALTH CONDITIONS:______________________
                                                              (ASTHMA,HIGH BLOODPRESSURE,ETC)

Type of class Enrollment(Indicate one):________Monthly_____________Single Class
Sex of Participant:_______Female________Male   Type of student:_______New_______Returning
EMERGENCY INFORMATION
EMERGENCY NAME AND PHONE NUMBER___________________________________________
DOCTOR NAME AND PHONE NUMBER_______________________________________________
HEALTH INSURANCE COMPANY & POLICY NUMBER:__________________________________
HOSPITAL:preference(Emergency only)_____________________________________________

A registration fee of $11.00 per year per individual is due the first week of September or at any later date that a student enrolls with United Dance.
__________________________Paid Date
Account Code:__________________

2008-2009 RELEASE AND REGISTRATION FORM

Class Descriptions

ACROBATICS. Ages 6-11yrs. and 12-19 yrs. 1hour class.  Tumbling passes such as cartwheels, walkovers, handstands, chest rolls, limbers, backhand springs etc. Must weigh less than 150 lbs to participate.

BALLET.  1 hour class.  Classical Steps and Movement. Experience Required: 6-8 year olds must have 3 years of training in Combination Dance Class.

BALLET POINTE.  1 hour class.  Ages 12-19yrs.  Classical Steps and Movement taught with pointe shoes.  Experience Required:  Presently enrolled in a Ballet Technique Class with 2 years of experience.

BALLET & TAP.  Ages 6-11yrs.  1/2hr. Ballet-Classical Steps and Movement.  1/2hr. Tap-Tap Techniques in Rhythms.  1 yr. to complete course.  Experience Required: 6-8 yr olds must have 1 to 2 yrs. in Combination dance class.

BALLET & JAZZ.  Ages 6-11yrs.  1/2hr. Ballet. Classical Steps and Movement. 1/2hr Jazz-Technique consist of Traditional, Hip Hop, Funk, and Street Dancing to up tempo music.  1 yr. to complete course.  Experience Required: 6-8 yr olds must have 1 to 2 yrs. in Combination dance class.

TAP & JAZZ.  Ages 6-11yrs.    1/2hr. Tap-Tap Techniques in Rhythms.  1/2hr Jazz-Technique consist of Traditional, Hip Hop, Funk, and Street Dancing to up tempo music. 1 yr. to complete course.  Experience Required: 6-8 yr olds must have 1 to 2 yrs. in Combination dance class.

CREATIVE MOVEMENT & TUMBLING.  A good starter program to teach 3-5 year olds how to use their bodies through fun movements, games, and imagination.    Basic Acrobatic skills to increase flexibility and strength.

COMBINATION DANCE: BALLET, TAP & TUMBLING.  Ages 3-5. and 6-8yrs.  Basic Technique training.  20mins. Ballet Classical steps and movement.  20 mins. Tap-Tap Technique in Rhythms.  20 mins. Gymnastics Passes. 1 yr to complete.

DRILL TEAM.  Ages 7-11, 12-18.  1hr. Class.  Prepares child for school Drill Team.  Routines that include such elements as marching, clean and sharp arm movements, kicks, leaps, jumps and splits.  Must have 1 yr of Level 1 jazz.

HIP-HOP.  Ages 7-11, 12-18, Adult.  1hr. class.  Street wise Jazz or contemporary Jazz considered to be Hip Hop or Funk.  Content includes replication of music video choreography.  Experience Required.  Must have 1 yr. of level 1 jazz.

JAZZ.  Ages 7-11, 12-18, Adult.  1hr. class.  A conglomerate of Latin, Afro-Cuban, Swing, and Street Dance.  Jazz is a melting pot of dance.  Technique also works on extensions, elevation, leaps & turns.  Experience Required:  6-8 yr. olds must have 3 yrs training in Combination Dance class.

LEAP & TURNS.  1 hr. class.  A dancers guide to building strength; perfecting all types of leaps and turns.  Basic core and flexibility training.  Strongly recommended for all competition class participants.

LYRICAL.  Ages 7-Adult.  1 hr. class.  Consists of a combination of Jazz, Modern, and Ballet Technique, which incorporates balance, control, and interpretation utilizing the lyrics or mood of the music.  Experience Required:  Must have 1 yr. of Jazz or Ballet.

MUSICAL THEATRE.  Ages 7-Adult.  1 hr. Class.  Routines interpreting songs from Broadway or movie musicals using a combination of techniques from  Jazz, Ballet, Lyrical, and Hip-Hop & Acrobatic tricks.   Experience Required:  6-8 yr. olds 3 years of dance Combination, Ballet, Tap, Tumbling, Jazz. 9-Adult 1 yr. of Ballet or Jazz. 

TAP.  Ages 7-11, 12-18, Adult.Technique in Rhythms.  Experience Required:  9 yr olds must have 3 yrs. training in Combination Dance Class.

CLOGGING.  Ages 7-Adult.  1hr. Class.  Country Buck Style Tap Technique.  Experience Required.  Must have 1 yr. of Level 1 Tap.

Fueling the Spirit of Kansas City's Dancers Since 1984