2023-24 Dance Season

Welcome Back!

We're super excited to kick off the 2023-24 dance season this September! As always, the season runs through the school year (September-May) with classes held Mondays-Thursdays after school. Your child's class schedule will be sent out at a later date.

*Ages 4 and up

Child's Information

Choose One

Parent's Information

ATTENTION: Your monthly invoices will be sent to this email address

Permission Emergency/Medical Treatment

In case of an emergency requiring medical treatment, I/we give permission for my child to receive such treatment services as are deemed in the best interest of the child at the time of the emergency. I/we accept financial responsibility for those services. If possible, I/we will be contacted prior to initiating treatment.

Medical Insurance Info

I state I have legal custody of the child and request emergency services as indicated. The above info is correct to the best of my knowledge.

I/we permit the dance instructor(s) of Teresa Clement Dance Studio to secure needed emergency care in case of an emergency when I/we cannot be contacted. I/we understand that any information I/we have provided will remain confidential within the dance studio program. I/we understand that Teresa Clement Dance Studio instructors are mandated under the social services law of New York State to report any suspected case of child abuse and/or neglect. I/we understand that Teresa Clement Dance Studio is not liable for any bodily injuries that my child may have picked up during classes.