Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Dance With Your Parent Night Friday, October 18th Ages 5-9 5-5:45 Ages 10 & Up 5:45- 6:30 Cost $10, Refreshments provided. Child's Name *Parent's Name *Emergeny Contact Name *FirstLastEmergency Contact Phone *Emergency Contact Email *How old is your child?Please selectAges 5-6Ages 7-9Ages 10-12Ages 13+Waiver and Release of LiabilityI have received and read a copy of Canyon Dance Academy Waiver and Release of Liability. I understand and agree to its contents.Canyon Dance Academy Waiver and Release of LiabilityRegistration FeePrice: $10.00Total$0.00Stripe Credit Card *Register
