All Abilities Creative Movement

All Abilities Creative Movement

New Dancer(s) Registration Form Spring 2026
1st Dancer Full Name*

First NameLast Name
Age*
2nd Dancer Full Name

First NameLast Name
Age
3rd Dancer Full Name

First NameLast Name
Age
4th Dancer Full Name

First NameLast Name
Age
5th Dancer Full Name

First NameLast Name
Age
Guardian Contact Information*

Guardian Full Name

Street Address

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
example@example.com
Emergency Contact Information (if dancer is being dropped off):

First NameLast Name
Phone Number

Area CodePhone Number
Do any of the dancers have a disability?

YesNo
What would you like us to know to dance with you/your dancer?
Which class will your dancer attend?*

Saturday Creative Movement 9:15-10am (Suggested Ages 5-6) $120/12 weeks. ($40/month)Saturday Creative Movement 10:15-11:15am (Suggested Ages 7+) $150/12 weeks. ($50/month)
Payments may be paid in full at the beginning of the semester

OR

Payments can be broken down into monthly payments due at the first class of each month.
*Important note: Dance instructors/assistants will not feed, assist in toileting, or give medication to any dancer. If you/your dancer needs assistance with any of these, please plan to have a support person present during the class. There are waiting areas right outside the dance rooms that you are welcome to use.*
*We believe dance should be inclusive in all ways. For scholarship inquiries please email us at inclusivedancewv@gmail.com
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