For the the Young at Heart Studio Classes – Spring 2024Student Name* First Last Contact Number*Email* Leslie Sokol's Dance Liability AgreementLeslie Sokol's Dance Agreement*Please read and check “I Agree” [below]. I agree to be responsible for my safety by warming up adequately, not dancing while injured, and by wearing appropriate dancewear during class. I give Leslie Sokol’s Dance permission to seek emergency and medical care on my behalf in the event of a life-threatening situation or injury. I agree I am responsible for my own well-being, and I release Leslie Sokol’s Dance from liability should I be injured while here. In return, Leslie Sokol’s Dance promises to take all reasonable precautions to keep students safe. I Agree. Registration Agreement*By registering for your selected number of classes, you are committed to fulfilling your payment obligation. If Leslie Sokol’s Dance cancels a class due to low enrollment, you will be entitled to a refund or class credit. Other refunds will only be given with a written doctor’s note stating that the student is unable to participate in class, with a $15 cancelation fee. By checking “I Agree” [below], I am stating that I have read and understand the Leslie Sokol’s Dance payment and refund policy and that I am responsible for fulfilling my payment obligation. I Agree. Photography*I give Leslie Sokol’s Dance permission to take my photograph for archival and promotional purposes and understand that I will not be compensated for any use of images. Yes Electronic Signature*By typing your name in the box below, you understand and agree with the previous statements [Leslie Sokol’s Dance Agreements & Registration Agreement.] If under 18, parent or legal guardian must sign.Class EnrollmentHow many classes would you like to attend monthly?* One class per week/4 classes a month Two classes per week/8 classes a month Total $0.00 Credit CardCard Details Cardholder Name Join Our CommunityConnect with us via social media and email, and tell us a little bit about how you found us.We’d love to connect via Instagram! Please provide us with your username (ours is @dancekidsfun):Instagram UsernameHow Did You Hear About Leslie Sokol's Dance? Word of Mouth I’m a Returning Student Web Search Facebook/Instagram YouTube TV Santa Barbara Flyer Performance/Event CAPTCHAEmailThis field is for validation purposes and should be left unchanged.