Location: Dual Star Academy of Dance4181 E. County Line Rd. Unit BCentennial, CO 80122 Dual Star Academy of Dance – Pom Prep/Mock Audition Clinic 2026 REGISTRATION FORMStudent's Name* First Last High School Team Student is trying out for*Current Grade*Student Age*Are you a current student at Dual Star?* Yes No Used to be Parent Name* First Last Email* Phone*Which Clinic are you signing up for? Check all that apply Sunday, February 22nd 9am-12pm Saturday, March 28th 2pm-5pm Payment Information$35 FEEHow would you like to pay?*Credit Card on File (current Dual Star students only)Credit Card – Create a secure account (non Dual Star student)Create a new account for secure payment Dancers who do not already have an account with us please use this link to create one: https://app.akadadance.com/customer/login?schoolId=ak600645jCredit Card Authorization* I authorize Dual Star Academy of Dance to charge the card listed above Consent* I agree to the following Medical and Injury AgreementMedical Agreement I understand that dancing is a strenuous physical activity. To my knowledge, my child has no medical problems or injuries that would prevent participation in class. I understand that it is my responsibility to inform a physician of any medical issues and to obtain written consent for participation. I agree to inform the instructor(s) of any known health condition that may affect class participation. Injury Agreement I agree to release Dual Star Academy of Dance and its participants, or any instructor from liability related to accidents or injury. I also agree to communicate in the event of an injury and understand that physical clearance from a doctor may be required to return to participating in class. Δ