Enrollment Form

1. Hurry, classes fill fast! Jenard Gross Elementary Thursday and /or Fridays 3p-4p Grades Pre-K-5th! Enrollment Form I 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 4th 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 Please bring snack!