Adult Registration

be sure and read the Adult Dance Series Page before filling out the registration form

You only need to fill out one registration form per year (August-May) Adult series usually run September through November, and January-May.

Dancer's Name

First Name

Last Name

Dancer's Phone Number

Dancer's Email

Emergency Contact's Name

Emergency Contact's Phone Number

Previous dance experience

After you have read the Class Schedule & Information Page select class or classes.

Adult Classes for only for those 16 and older.

Adult Ballet- Wednesday's 6:30pm-8:00pm

Media Release

I hereby give permission for Northwestern Studios to use photographs/videos of my likeness and my child’s likeness which includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of my child or myself for use in materials that include, but may not be limited, to printed materials such as brochures and newsletters, advertising, videos, and digital images such as those on the internet and social media. Parents or Persons who do not want to be included in promotional materials can opt-out at any time by sending an email to the school.

I've read the release and agree

Release & Waiver of Claims

I have chosen for myself or my child to participate in dance instruction given by Northwestern Studios. I acknowledge that I understand the nature of the activities my child will be participating in and that my child is in the proper physical condition and capable of participating in the related activities, understanding that Northwestern Studios is not in any way responsible for making such a determination. I have taken responsibility not to engage in a class or have my child engage in a class if I, he, or she is too ill to do physical activities. In consideration of my own and/or my child’s enrollment in any dance instruction program via virtual, online classes, I understand and agree on behalf of myself and/or my child, to release, hold harmless, and discharge Northwestern Studios from all claims, costs, liabilities, expenses or judgments, including attorneys’ fees and court costs for any occurrences in connection with any dance instruction. I assume all risks to myself and/or my child in connection with any instruction, further release Northwestern Studios and its owners and employees from liability for any injury sustained by myself or by my child while he or she is enrolled in any dance instruction program, including all risks reasonably connected with such activity whether foreseen or unforeseen, including but not limited to; physical injury, any illness, any illness during a pandemic such as but not limited to, COVID 19 (Novel Coronavirus/SARS-CoV-2). I acknowledge and agree that it is my responsibility to maintain my own accident and health insurance coverage that provides adequate coverage for myself and my child participating in Northwestern Studios activities and that Northwestern Studios does not provide accident or health insurance for those participating in its instruction, activities or programs. By checking the Release and Waiver of Claims box I show of my intention to execute a complete and unconditional waiver and release of all liability pursuant to the terms herein, and agreement as to all terms and conditions contained above. I HAVE FULLY INFORMED MYSELF AS TO THE CONTENTS OF THIS RELEASE AND HAVE READ THE SAME PRIOR TO REGISTERING MYSELF OR MY CHILD.

I've read the Release and agree.