Online Registration

PAY YOUR BILL ONLINE

(540) 862-0216
gffdance@gmail.com

500 East Main Street
Clifton Forge, Virginia

(540) 862-0216
gffdance@gmail.com

500 East Main Street
Clifton Forge, Virginia

MOBILE NAVIGATION

Home
About Us
Classes
- Pound
- Online Registration
Instructors
Troupe
Gymnastics
Events
Contact Us

MOBILE NAVIGATION

Home
About Us
Classes
- Pound
- Online Registration
Instructors
Troupe
Gymnastics
Events
Contact Us

You can now register online! You can either fill out your registration form online or download the form, fill it out and either email it to gffdance@gmail.com or mail it in to...

Garlynda's Fancy Feet
500 East Main Street
Clifton Forge, Virginia

DOWNLOAD REGISTRATION FORM

Phone

PARTICIPANT’S NAME *

BIRTHDAY *

Age *

PARENTS *

PARENTS E-MAIL *

PHONE: #(HOME)

CELL

WORK

DANCER’S CELL

DANCER’S E-MAIL

ADDRESS

ADDRESS 2

CITY

STATE

ZIP CODE

NOTIFY IN CASE OF EMERGENCY (OTHER THAN PARENTS---INCLUDE NAME & NUMBER)

DANCE EXPERIENCE (LOCATION & # OF YEARS)

SELECT CLASS (S) to be determined by instructor

Combination Dance (45 minute class)

Combination Dance (45 minute class) (Tap & Ballet)

Combination Dance (75 minute class)

Combination Dance (75 minute class) (Tap, Ballet, Jazz)

Hip-hop all ages

Hip-hop (Doina Jeter-Instructor) all ages

Gymnastics (60 minute class)

Preschool (3-4), School Age (5-12)

Combination Dance (60 minute class)

Combination Dance (60 minute class) (Tap, Ballet, Jazz, Clogging - when instructed)

Combination Dance (75 minutes)

Combination Dance (75 minutes) (Tap, Ballet, Jazz, Clogging - when instructed)

Clogging

Clogging – (Melissa Stull-Instructor) (beginner)

Gymnastics (30 minute class)

Mom and Tot (12 m – 2) Parents must attend

REGISTRATION DATE

REGISTRATION PAID

$20 Before June 1st /$25.00 after June 1st and new students

The applicant has permission to participate in dance classes at GARLYNDA’S FANCY FEET. I adhere to all the guidelines, procedures and decisions pertaining to the operation of Garlynda’s Fancy Feet in reference to dance, tumbling, performance, and related practices and performances *

PARENT’S SIGNATURE *

DATE *

OTHER INFORMATION (Medical, requests, etc.):

Photographic Release
I give permission for photographs of my child in dance/tumbling/ baton class or performance to be used in promotional material for Garlynda’s Fancy Feet in both internet and print publications

CHILD'S NAME

PARENT/LEGAL GUARDIAN

DATE

RELEASE FROM LIABILITY: I, the undersigned parent/guardian of the student, recognizes that classes involving physical activity may result in personal injury, do hereby release, discharge and agree to hold harmless and safe from all liabilities Garlynda’s Fancy Feet, its officers, agents, employees and independent contractors from any and all claims, demands, rights, actions and clauses of action arising out of the activities of said business, specifically including dance, tumbling, related classes practices and performances, on account of or in any way arising out of any and all known and unknown personal injuries and property, including consequential damages, which I may now or hereinafter have as the parent/legal guardian of this said minor on his or her own behalf. In the case of emergency, if I cannot be reached, I authorize Garlynda’s Fancy Feet, its agents and employees, to contact and secure medical attention for my child or me. I have taken the necessary steps to obtain accident, health, or hospitalization insurance that would cover any sustained injury. Parents are responsible for the safe and timely drop-off and pick-up of all students. *

PARENT’S/LEGAL GUARDIAN SIGNATURE

DATE

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CLICK TO CONTACT US FOR MORE INFORMATION

Name *

Email Address *

Comments / Questions *

Get In Touch!

(540) 862-0216

500 East Main Street, Clifton Forge, Virginia

gffdance@gmail.com

Our Mission

Garlynda’s Fancy Feet Dance Studio exists to provide youth development, professional dance education, exercise, technique, team building, character development, constructive criticism, stage experience, choreography experience, dance internships, and most of all, instilling a love of dance. All of this is made possible through its dedicated faculty that has over 80 years of combined experience.

(540) 862-0216gffdance@gmail.com

500 East Main StreetClifton Forge, Virginia

(540) 862-0216gffdance@gmail.com

500 East Main StreetClifton Forge, Virginia