Parent's Name *
Parent's Name
Phone Number *
Phone Number
Caregiver's Name
Caregiver's Name
Caregiver's Phone Number
Caregiver's Phone Number
Child's Name *
Child's Name
Date of Birth *
Date of Birth
Sibling's Name
Sibling's Name
Date of Birth
Date of Birth
I understand that the dance classes my child will participate in include, without limitation, movement on a hard wood floor, the use of instruments and hand held objects, guided stretching, dancing while holding a prop or instrument, movements involving jumping and fast paced dance steps, dance routines and other related activities. I further understand that all the movements and activities involved in this dance class involve some degree of risk, strain or bodily injury. I consent to have my child participate in the described physical activities. I understand that Midtown Movement and Dance Company (MMDC) is not responsible for lost or stolen personal property. I agree to correspond with all MMDC registration, class and performance regulations, if applicable. I hereby acknowledge that I have read and agree to the above conditions and participate accordingly.
Photo Release *
I grant to Midtown Movement and Dance Company, its representatives, and its employees, the right to take photographs of my child in connection with dance classes, dance camp and dance recital performances. I authorize Midtown Movement and Dance Company, its assigns and transferees to copyright, use and publish the same in print and/or electronically.


NOTE: Please select the appropriate pay option for the specific class or classes you are registering for.

Please Note: Make up classes are offered for any absences. Make ups must be completed within the semester that student is currently enrolled in.

Toddlers Dance with Me or 45 minute CLass: $650

This enrollment applies for 1 of the following 45 minute classes: Beginner Ballet, Budding Ballet Toddler, Hip Hop Toddlers, or Dance With Me: Ballet, Hip Hop or Creative Movement class.

Dance with me Unlimited Program: $950

For tots who want to explore different styles of dance! This flexible drop-in membership suites any schedule. Enroll in our unlimited program and have access to attend any of our Dance With Me classes each week.! (Class genres include Ballet, Hip Hop and Creative Movement).

1 Drop-off Class : $680

This enrollment applies for one 60 min class per week:

Drop-off Ballet/Tap Combo or Hip Hop dance class.

Sibling/ Second Class- 45/60min : $1130

This enrollment applies for one 45min class (Dance With Me, Toddlers, or Beginner Ballet) and one 60 minute class (Ballet/Tap or Hip Hop).

Enjoy 15% off your tuition for dancers who want to attend 2 classes per week OR siblings attending 1 class each.

Sibling/ Second Class- 60min : $1156

This enrollment applies for two 60 minute classes (Ballet/Tap or Hip Hop).

Enjoy 15% off your tuition for dancers who want to attend 2 classes per week OR siblings attending 1 class each. For 3 classes or more per week discount, please email for an invoice)