Class Registration Form - Alamance Fine Arts Academy

Student's Name*
First Last
Student's Birthdate*
MM slash DD slash YYYY
How did you hear about us?*
Class(es) student is interested in taking:*
DANCE STUDENTS: please select all styles your student is interested in, and we will contact you regarding specific class placement after reviewing the student's age, previous dance experience, and skill level. Voice students: We currently have a waitlist. You will be added to the waitlist.
- Voice Lessons (ages 7+) (Waitlist)
- Visual Art (ages 7-18)
- Theatre (ages 8-18) (WAITLIST)
- Dance for ages 3-6
- Ballet (ages 7+)
- Pre-Pointe & Pointe (ages 9+)
- Jazz (ages 7+)
- Modern (ages 8+)
- Acro (ages 7+)
- Tap (ages 7+)
- Clogging (ages 7+)
- Liturgical (ages 7+)
- Hip Hop (ages 10+)
- Character (ages 9+)
- Stretch, Turn, Leap (ages 9+)
Dance Experience
If student is interested in taking dance, please list all dance experience including number of years student has taken dance, what styles of dance they've received training in, and the names of the dance studios they've attended.
Parent or Guardian Name*
First Last
Primary Contact Phone*
Primary Email*
All communication is via email, so please enter an email address that you check on a regular basis.
Enter Email Confirm Email
Primary Contact Address*
Street Address City ZIP Code
Emergency Contact: Name*
Different from the primary contact person listed above.
First Last
Emergency Contact: Phone Number*
Enter a contact number that is DIFFERENT from the primary number listed above.
Any medical issues we should know about?
Student's T-shirt size*
AFAA Liability Waiver*
• I have read, understood and agreed to all AFAA Policies and Procedures.
• I understand the Registration Fee due at registration is non-refundable and that I am fully responsible for my monthly tuition.
• I acknowledge the risks and hazards of physical injury inherent in training and performance and hereby assume all such risks and hazards; and I hereby release, waive, and agree not to assert against Alamance Fine Arts Academy, its directors, instructors, officers, agents, or employees any claim for injury to said child in consequence of or incident to such training, performance, or other AFAA activities.
• I have read AFAA’s Code of Conduct and agree to abide by the expectations therein.
• Alamance Fine Arts Academy may use my student’s picture in advertisements, literature, or in web content such as on AFAA's website or AFAA's social media posts, as well as events sponsored and conducted by AFAA. (Please let the office know if you do not agree to this)
• I agree to allow Alamance Fine Arts Academy to include me in studio-related text messages. I understand I can email the office to opt-out at any time.

I understand that by checking this box, I am indicating that I have read and agreed to to the conditions outlined on the AFAA Liability Waiver.
**After clicking "Submit" below, you should see a page that says, "Thank you for registering!" If you do not see that page and are instead sent back to this page, your form was NOT submitted, b/c it was not complete. Please scroll down to find the missing information, then re-submit.
Comments or Questions?

CLASS REGISTRATION