Register for Summer 2021 - Step 1 of 2
Please fill out the form below to register for a class. After you fill out the form, you can then submit payment to reserve your spot. Please note that we cannot guarantee your spot until we receive your payment.
Class to Attend
Your Name
Street Address
City, State, Zipcode
Phone
Email
Comments
Disclaimer - please read and check that you agree below

Absence and Makeups
There will be no refunds for missed classes. Makeups will be offered for classes cancelled by the instructor.

Withdrawals and Refunds
100% refund will be issued for withdrawals made prior to the start of the program. After the start of the session, refunds may be prorated for weeks enrolled at the discretion of Empower Dance Director, Tracy Durso.

Acknowledgment of Risk and Waiver of Liability
I am fully aware and appreciate the risks, including the risk of injury, as well as other damages and losses associated with participation in dance classes and activities. I further agree that Empower Dance, along with its instructors and employees, shall not be liable for any loss, damage, injury or death occurring in connection with participation in any classes or activities conducted by Empower Dance

Photo and Video Release
I give Empower Dance the absolute right and permission to use photographs and/or video images of me and my child on its web site and in other forms of publicity and advertising. I release Empower Dance, its videographer, photographer, employees, instructors, agents, heirs and designees from liability for any violation of any personal or proprietary right I may have in connection with such use.

I Accept the above terms and conditions