Fusion Performing Arts Center

2026-2027 Dance Season Registration

Please visit the Parent/ Student Handbook page on our website and review all policies and waivers prior to completing this form. A registration fee of $80 is due by August 1st. Please pay via Venmo @FusionPAC2_0

Dancer's First Name

Dancer's Last Name

New or returning dancer?

New

Returning

Birthday

Month

Day

Year

Dancer's gender

Female

Male

Grade for the 2026-2027 school year

Number of Years of Formal Dance Classes

Number of Years of Formal Tumbling Classes

Parent/Guardian #1 Name (first and last)

Parent/Guardian #1 phone number (with area code)

Parent Email

Parent/Guardian #1 address (with city and zip code)

Parent/Guardian #2 name (first and last)

Parent/Guardian #2 phone number (with area code)

Parent/Guardian #2 Address (if different from #1)

Authorized pick-up person name (first and last)

Authorized pick up person phone number (with area code)

Emergency Contact name (first and last)

Emergency Contact phone number (with area code)

Medical concerns, allergies, injuries, asthma, medications, or limitations

Special needs or accommodations

I have read, understand, and agree to the terms of the Parent/Student Handbook (link provided above) and all related studio policies for my child’s participation at Fusion Performing Arts Center.

Yes

No

I have read, understand, and agree to the terms of the Liability waiver and all related studio policies for my child’s participation at Fusion Performing Arts Center.

Yes

No

I have read, understand, and agree to the terms of the Medical Release / Emergency Treatment Permission and all related studio policies for my child’s participation at Fusion Performing Arts Center.

Yes

No

I have read, understand, and agree to the terms of the Photo/Video Release and all related studio policies for my child’s participation at Fusion Performing Arts Center. Choose one answer below:

Yes, I give permission for my child to be photographed/videoed.

No, I do not give permission for my child to be photographed/videoed for promotional use.

I have read, understand, and agree to the terms of the Recital/Revue Participation Agreement and all related studio policies for my child’s participation at Fusion Performing Arts Center.

Yes

No

I have read, understand, and agree to the terms of the Costume Fee Agreement and all related studio policies for my child’s participation at Fusion Performing Arts Center.

Yes

No

Please sign below attesting that that all information provided in this form is accurate and complete, and parent/guardian agrees to notify Fusion Performing Arts Center promptly of any changes.

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Get ready to groove! Sign up below for the exciting 2026-2027 Dance Season!

Fusion Performing Arts Center

2026-2027 Dance Season Registration