How to Register

1） 将以下表格填写后，发送到： yuqiong23@yahoo.com 

2） 或将以下表格填写后，在第一节课时直接带表格到 Dance Studio 报名。

Dance Class Registration Form

Butterfly Children Dance Group

9954 York Road

Cockeysville, MD 21030

Please fill out the Dance Class Registration Form below,

Email to the email to

yuqiong23@yahoo.com

Dancer’s Name(s):

_______________________________________________________

Dancer’s age: 

_____

Parent’s Name(s):

_______________________________________________________

Contact number(s):

______________________________________________________

Email address:

_______________________________________________________

MEDICAL RELEASE

In the event you are unable to reach me, in the case of accident or injury, I give my permission for treatment as deemed necessary by staff or emergency personnel. I also release Butterfly Children's Dance Group and its staff of liability in case of injury or accident incurred to:

Child Name______________________________________________

Parent/Guardian Signature_______________________________      

Date____________________________________________________

Thank You!

We are looking forward to dancing with you!!!