28901 S Western Ave, Suite 113
Rancho Palos Verdes, CA 90275

The Dance Factory School of Performing Arts
(310) 519-3600
info@dance-factory.com
Here is our online registration form for your convenience. Please fill out all required fields (in BOLD). If there is not an applicable answer, please insert n/a or none.
Student's First Name
Student's Last Name
Address Line
City
State
Zip Code
Parent's E-mail Address
Home Phone
Age
Bold = Required field
How did you hear about our studio?
Birthdate
School Attending
Grade in school Fall-09
Mother's Name
Work Phone
Cell Phone
Father's Name
Work Phone
Cell Phone
Emergency Contact
Relationship
Phone
Class 1
Day 1
Time 1
Class 2
Day 2
Time 2
Class 3
Day 3
Time 3
Class 4
Day 4
Time 4
Class 5
Day 5
Time 5
I have read and agreed to the above terms and conditions between The Dance Factory and myself.
Name of person agreeing to terms.
Select a date
Today's date and approximate time

Class Fees for 2009-2010 Season:
Annual Registration Fee $35 (per family)

30 minutes weekly 2/3 yrs. $40 per month       2 hours a week  $118 / month
50 minutes weekly (combo) 3/4 yrs. $65 per month   3 hours a week $163 / month
1 hour weekly $65 per month   4 hours a week $200 / month
1.5 hour weekly (combo) 4/6 yrs. $100 per month    Unlimited $238 / month

CLASS / LEVEL

DAY

TIME

1) All students and their parents/legal guardians are aware of possible injury that may occur during various classes, performances, competitions, and/or rehearsals, and are willing to assume those risks. It is agreed that students' and their parents/legal guardians will not hold The Dance Factory, its owner, directors, officers and/or employees liable for injuries sustained while in attendance or while participating in any Dance Factory activity.
2) We give our permission to The Dance Factory to use pictures and videos of our child for advertising purposes.
3) The schedule and/or teachers are subject to change.

2009 - 2010 Registration Form