Primary Contact Information

First name

Last name

Email

I agree to be contacted for studio communications and updates

Primary Contact Phone

Address

How did you hear about us?

Emergency Contacts

Primary Emergency Contact

Primary Emergency Contact Phone

Relation to Student

Secondary Emergency Contact

Secondary Emergency Contact Phone

Relation to Student

Student Details

Student 1 Name

Student 1 Birthday

Month

Day

Year

Student 1 Sex

New or Returning Student?

Please share any dance experience, medical conditions, injuries, or learning needs:

If your student is new to the studio, this helps us with level placement if they have not yet completed an audition or jury evaluation

Registration Fee & Policies

Select Registration Fee (based on students entered above)

Current Student$45

Current Family (2 students)$50

Current Family (3 students)$55

New Student$45

New Family (2 students)$50

New Family (3 students)$55

Pre-Pro Add-On Student (only if Pre-Pro registration complete)$15

Pre-Pro Add-On, 2 Students (only if Pre-Pro registration complete)$20

A registration fee must be submitted with this form. Tuition for the first month of classes be due by August 1, 2025. This registration fee will be refunded if classes are no longer offered by the studio. The fee will not be refunded if classes are offered, but the child does not participate.
There will be a $30 fee assessed for returned checks or insufficient funds.

Consent for Use of Photography

I grant Bridgeman Academy of Performing Arts and all its representatives and employees the right to use photographs of me, my child and/or my property in connection with Bridgeman Academy of Performing Arts. I authorize the above company to copyright, use and publish the same in print and/or electronically. I agree that the above company may use such photographs of me with or without my name for any lawful purpose, including for example such purposes as publicity, illustration, advertisement and web content.

I have read and understand the above policies and procedures and agree to abide by them. I am the responsible party for all expenses incurred by the registrant.

I grant permission and give my consent for the use photography as outlined above and understand that the images may appear on the website, social media, and other marketing materials.

Liability Waiver

I KNOWINGLY AND VOLUNTARILY ASSUME ALL RISKS ASSOCIATED WITH THE ACTIVITIES, AND I AND/OR MY CHILD UNEQUIVOCALLY AGREE TO INCUR AND ASSUME SUCH RISKS AS A CONDITION TO MY PARTICIPATION IN THE CLASSES OFFERED AT BRIDGEMAN ACADEMY OF PERFORMING ARTS (“COMPANY”). I WAIVE AND RELEASE ALL RIGHTS AND CLAIMS FOR DAMAGES THAT I AND/OR MY CHILD MAY HAVE AGAINST BRIDGEMAN ACADEMY OF PERFORMING ARTS FOR ANY INJURY IN CONNECTION WITH THE COMPANY. I UNDERSTAND THAT I AM RESPONSIBLE TO MAINTAIN INSURANCE OR PAY FOR MEDICAL EXPENSES INCURRED. I REPRESENT AND WARRANT THAT I HAVE REVIEWED THIS WAIVER WITH MY CHILD AND ENTER INTO THIS WAIVER, AS EVIDENCED BY MY SIGNATURE BELOW. I AND MY CHILD AGREE AND ACKNOWLEDGE THAT THIS WAIVER IS APPLICABLE TO ALL COMPANY EVENTS AND ALL ACTIVITIES IN WHICH I/MY CHILD PARTICIPATE AT ANY TIME AND IS A PERPETUAL WAIVER FOR ALL SUCH EVENTS AND ACTIVITIES.

Signature

Signature field is empty.