Summer Dance Registration is Here!

Please fill out and submit the form below to register:

Dancer's name:

Dancer's date of birth:

Any medical conditions:

Address:

Guardian's name:

Phone number:

Your email:

Emergency contact name:

Emergency contact phone:

Photo/Video Release:

YesNo -- Lakes Region Dance is hereby granted permission to take photographs or videos of our students to use in social media, websites, posters, advertisements and other promotional materials that LRD may create.

Release and Waiver of Liability and Protection Agreement:

Physical activities such as dance and acro carry a risk of injury to students. I hereby release Lakes Region Dance of any liability whatsoever arising out of an injury, damage or loss which may be sustained by said person during the course of involvement with Lakes Region Dance. This includes classes held in the dance studio and during any other performance or rehearsal with Lakes Region Dance. I have read this waiver agreement, understand its contents, and accept and assume such risks. Please sign and date in the box below:

Classes (please check all that apply):

Adult Tap - $130Advanced Acro - $200Advanced Tap - $150Beginner Ballet (Ages 6-8) - $130Beginner Ballet (Ages 9+) - $150Creative Movement - Monday - $130Creative Movement - Wednesday $130Intermediate Ballet - $200Intermediate/Advanced Pointe - $130Intermediate/Advanced Ballet - $200Intermediate Tap - $150Level 1 - $260Level 2 - $325Level 3 - $325Level 4 & 5 (without tap) - $340Level 6 (without tap) - $340Level 7 (without tap) - $340Pre - Monday - $130Pre - Wednesday - $130Pre Acro - $130Open Acro - $150Tot Acro - $70

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Order Your 2023 Recital Tickets:

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