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Dancer First Name*

Dancer Last Name*

Dancer Birthday*

Month

Day

Year

Dancer Gender*

Female

Male

None Binary

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Dancer Race/Ethnicity*

African American/Black

Asian

Hispanic/Latino

Native American/Alaskan Native

Native Hawaiian/Pacific Islander

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Parent/Guardian First Name*

Parent/Guardian Last Name*

Family Income Level*

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Middle Income

High Income

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Dancer T-shirt Size*

Primary Email*

Parent

Dancer

Primary Phone Number*

Parent

Dancer

Secondary Email*

Parent

Dancer

Secondary Phone Number*

Parent

Dancer

Preferred Mailing Address*

Dance Studio Name and City*

Emergency Contact Name*

Emergency Contact Phone Number*

Please upload a headshot of the dancer.

Please download and sign the Company Contract. Upload your signed contract below.

Cancellation Policy: A cancellation fee of $300 will apply for cancellations within first 6 months. A cancellation fee of $200 will apply for cancellations made thereafter. To initiate cancellation, members must email soletalkyouth@gmail.com. Fee will be due at time of cancellation. By signing up and submitting payment you acknowledge understanding and acceptance of the terms of this policy.*

General Policies: You must be 18 years or older to register, or have your parent/legal guardian register. We reserve the right to video tape and photograph all classes, events, and performances, and use those videos and photos in our marketing. Faculty and Class arrangements are subject to change. NO REFUNDS!*

By registering, you hereby release Chloe and Maud Productions, Chloe and Maud Foundation, Sole Talk, instructors, staff, sponsors, and locations from any and all claims/liability due to illness, personal injury or loss of property which you or your child may sustain as a result of participating in any activity connected with Chloe and Maud Productions, Chloe and Maud Foundation, or Sole Talk.*

The Chloé and Maud Foundation is a 501(c)(3) nonprofit organization dedicated to providing uplifting, inspiring, and joyful educational programming across the globe. Support our mission with a tax-deductible donation here.

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