DRAMA CLASS REGISTRATION AT DSD

Register by Paper:
If you want to register by filling out a paper form, please click here to download form in order to print.

Register Online:
Please fill out the form below to register online for the January - April 2017 Drama Class.

Your Name (required):

Your Email (required):

Your Home Address:

Your Phone:

Your Child's Name:

Child's Date of Birth:

Child's Grade:

Does your child have any drama experience:
YesNo

Pick your class choice:

Is there anything we need to know about your child that will help us to better serve him or her?

Emergency Contact Name other than Parent:

Emergency Contact Phone Number:

How did you hear about our program?

If you were referred to our program, please tell us the name of that person.

Release: I hereby accept full financial responsibility for injury to my child that may occur at or near Douglasville School of Dance before, during, or after classes including function held away from the classroom building. In case of accident when I cannot be reached I hereby give my permission for Sheryl Clay or my child's teacher to seek medical aid in any emergencies. In addition, I give my permission for Douglasville School of Dance to film my child during the school activities, and I authorize the use of my child's pictures or videos for advertising purposes. I am aware that Douglasville School of Dance has the right to combine or cancel classes due to low enrollment.

Please type your name below as your signature as well as the date to indicate your agreement in this release statement.