Kinderdance®-Multnomah County
(503) 232-4771
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A. Registration Form
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Indicates required field
Parent's Name
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First
Last
Parent's Name
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First
Last
Child's Name - Please complete a separate form for each child in your family. Only one registration fee will be due.
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First
Last
Gender
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Female
Male
Child's Birthdate
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School /Center/Class Location
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Phone Number
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Email
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Address
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City/State
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Zip Code
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Emergency Contact
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Emergency Contact Phone Number
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Select Program. Be sure to check the ABOUT US page for offerings at your child's location.
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Kinderdance®
Kindergym®
Kindertots®
Kindercombo®
Kindermotion®
Kid's Yoga®
Kinder Dance With Me®
Liability Waiver: I realize that any program such as Kinderdance® and its affiliated programs which involve movement and motion can result in physical injury. I permit my child to participate in Kinderdance® and release Kinderdance® International, its owners, employees, Kinderdance® Franchisees, instructors and staff from all liability for injury to my child from his/her participation in this program. Furthermore, I agree to allow Kinderdance® International or local Kinderdance® Franchisees to use the name and likeness of my child in photographs and/or video for advertising and promotional purposes without compensation to my child or myself. Tuition is due monthly in advance and covers my child's enrollment for that month or any portion of that month.
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Yes
I have read and agree to all policies, terms and conditions, as outlined in the Policies Page of the Kinderdance®-Multnomah County web-site.
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YES
Submit
Go to the MAKE A PAYMENT PAGE to complete registration.