2024 Summer Dance Program

Please complete one form per child.

You will have the opportunity to pay by credit card for appropriate registration fees at checkout. An email confirmation will be sent to your inbox after checkout and payment have been received, and we will try to email you a reminder a few days before your child's activity starts!

Please contact us with any additional questions:

Office Phone: 620-566-7323

Email: ellinwoodrec@gmail.com

Stephen Richter Mobile Phone: 620-617-6763

Our office is located above Sunflower Bank in Ellinwood.

Mailing address is PO Box 342, Ellinwood, KS 67526

Important Details to Note:

Registration is due on or before May 28, 2024.

Join us for a fantastic summer dance experience as the Ellinwood Recreation and Aly's Dance Studio come together to present their Summer Dance Program.

All classes will run on Tuesday mornings from Tuesday, June 4th through Tuesday, July 16th, 2024 located in the Ellinwood High School Auditorium.

Cost of Class:

30 minute class - $50.00

45 minute class - $55.00

Class Ages/Types:
Tap for 5-10 Year Olds (10:00 to 10:30 AM - 30 min)
Jazz/Hip Hop for 5-8 Year Olds (10:30 to 11:15 AM - 45 min)

Babes in Ballet for 3-5 Year Olds (11:15 to 11:45 AM - 30 min)
Jazz/Hip Hop for 9-13 Year Olds (11:45 to 12:30 AM - 45 min)

Parent/Guardian Information

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Cell Phone Number *

Parent/Guardian Email Address *

Mailing Address *

City *

State *

Zip Code *

Participant Information

Student First Name *

Student Last Name *

Gender *

Age *

Student Birthdate * +

Student Grade Level *

Student T-Shirt Size *

Student Phone Number (if applicable)

Select Your Child's Age/Class:

*

Tap for 5-10 Year Olds (10:00 to 10:30 AM - 30 min)

Jazz/Hip Hop for 5-8 Year Olds (10:30 to 11:15 AM - 45 min)

Babes in Ballet for 3-5 Year Olds (11:15 to 11:45 AM - 30 min)

Jazz/Hip Hop for 9-13 Year Olds (11:45 to 12:30 AM - 45 min)

Release Form

I, the undersigned, hereby consent to myself/child enrolling and participating in all Ellinwood Recreation Commission activities. I acknowledge that the activities involved by their nature involve some inherent risk. I assume all physical risks and hazards involved in the conduction of recreational programs and hereby release, and hold harmless this organization and any other civic or private party organization involved in any way in the activity from any liability as a result of an accident which may occur in conjunction with said participation and the result of bodily injury to myself/child. This release is intended to include all individuals and representatives of the organizations and individuals and representatives participating in recreational programs. I further acknowledge and understand that no insurance is provided by the Ellinwood Recreation Commission, Kansas or any other organization or entity assisting with promoting or conducting the program, travel and activities.

I hereby give Ellinwood Recreation Commission permission to us my name/child’s name, my photography, and/or footage shot at recreational activities to be used in print advertising, broadcast advertising, and website advertising for the Ellinwood Recreation Commission. I waive rights to any and all payments concerning the use of my photographs and or audio video recordings.

By signing below you agree to both statements above:

Parent/Guardian Signature *

Checkout & Payment

Current Total:

$0.00