enrollment form

Enrollment FormI agree to pay $30 per Month for my child’s enrollment. I have read and understand the Little Folks Dance & Fitness policies. I am aware that the Little Folks Dance & Fitness instructors, and/or the child care facility will not be held liable for accidents or injuries resulting from my child’s participation in the program. Any photographs taken during Little Folks Classes or Performances may be used anonymously for promotional materials. I have read and agree with LFDF policies. For questions, please feel free to call Chaka Jones 832.859.4732 or email chakajones@littlefolksdance.com. Become a fan on Facebook! December 4December 4thth dancers will perform Rockets vs LA Lakers game! dancers will perform Rockets vs LA Lakers game!

I will like to purchase ______ T-shirts $10.00 each (child M/L adult S) total $ ___________Health Disclosures: Please list any health issues that might limit your child’s participation.__________________________________________________________________________________________________________________

Always remember to check with your child’s doctor before having them begin any type of extra curricular sports activities or other physical exercise programs)

Students Name:___________________ Age:_______ Grade:_____ Teacher:______ Email:________________________Parents/Guardian Signature____________________ Date:_________________

www.littlefolksdance.com

Hurry, classes fill fast!Jenard Gross Elementary Thursday and /or Fridays3p-4p Grades Pre-K-5th!

Please bring snack!