Register | InsideOut Creative Movement

Parent(s) Name(s)*

First Last

Child Name*

First Last

Child Date of Birth*

Email*

Cell Phone*

RETURN STUDENTS: If you have registered this child for a class before and do NOT need to update phone, address or emergency contact information, please click the box below.

Yes, I have registered my child previously, and have no changes to my phone, address or emergency contact information.

Home Phone

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Emergency Contact Name*

First Last

Emergency Contact Number*

Which session would you like to attend?*

LAFAYETTE (Weekday): TCDC 990 S. Public Road Lafayette, CO 80026
LAFAYETTE (Saturdays): TCDC 990 S. Public Road Lafayette, CO 80026

Select the Weekday Lafayette class you are registering for:*

Baby Class on Fridays | 12:00 - 1:00pm | November 1st - December 13th, 2024 | Lafayette (No Class Nov. 29th)
Waddler Class on Tuesdays | 9:30 - 10:15am | October 29th - December 10th, 2024 | Lafayette (No Class Nov.26th)
Waddler Class on Wednesdays | 9:30 - 10:15am | October 30th - December 11th, 2024 | Lafayette (No Class Nov. 27th)
Waddler Class on Fridays | 9:30 - 10:15am | November 1st - December 13th, 2024 | Lafayette (No Class Nov. 29th)
Toddler Class on Tuesdays | 10:30 - 11:30am | October 29th - December 10th, 2024 | Lafayette (No Class Nov. 26th)
Toddler Class on Wednesdays | 10:30 - 11:30am | October 30th - December 11th, 2024 | Lafayette (No Class Nov. 27th)
WAITLIST ONLY Toddler Class on Fridays | 10:30am - 11:30am | November 1st - December 13th, 2024 | Lafayette (No Class Nov. 29th)

Select the Lafayette Saturday class you are registering for:*

Baby Class on Saturdays | 9:00am - 10:00am | November 2nd - December 14th, 2024 | Lafayette (No Class Nov. 30th)
Waddler/Toddler Class on Saturdays | 10:30am - 11:15am | November 2nd - December 14th, 2024 | Lafayette (No Class Nov. 30th)

How Did You Hear About Us?*

Liability Waiver*

By clicking here, you agree that you understand, agree and accept this statement below.

I agree to participation in the InsideOut Creative Movement programs for myself and my child(ren). I am aware that the activities of creative movement involve risks of injury and freely assume those risks for myself and my child(ren).I hereby release InsideOut Creative Movement programs from any legal liability and agree not sue its owner, Tara Cluck Dance Center, and/or Michelle Latimer Dance Academy for any and all injuries caused by participation in the class.

Phone

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REGISTRATION