Student Registration
Student Information
Tell us about your student.
Please let us know if your child is allergic to anything or has any medical conditions
Billing Information
Let us know your billing details.
Authorization Information
These are additional people beyond the parents/ legal guardians listed above. Please Include their name and phone number.
This is a spoken password to confirm that your child is authorized to be picked up by individuals on the additional authorized contacts list above.
Additional Comments
Is there anything else we should know?
Prove you are Human

I, the above signed, have received and understood the information provided by the Mazza-Smith Dance. I hereby release Mazza-Smith Dance and all their affiliated entities from any and all liability, claims, demands, and causes of action for Personal injury, property damage, and/or other loss suffered in connection with class, rehearsal, performance, and participation at either the facility of Mazza-Smith or any other locations occupied.  I give unrestricted use of all photographs, videotape, and films by Mazza-Smith Dance for advertising and promotional purposes.