CCDC 2016-2017 Registration


Capital City Dance Center is currently accepting class registrations during an exciting new transition. You will be contacted with an update shortly.

Thank you for your interest!

Register now for 2016-2017 classes at Capital City Dance Center.

Non-refundable annual registration fee is $20.00.

A $45.00 recital fee per family is also due upon registration.

Mail check to CCDC, 2962 99th Street, Urbandale, IA 50322.

* indicates a required field

Family Information
Parent Name*
Zip Code*
Phone Number*
Email Address*
Confirm Email Address*

Student Information
Student Name*
Date of Birth*
School Grade*
Student Sex* MaleFemale
How did you hear about CCDC?

Class Selections Indicate level, day, and times
(e.g. Ballet Level 4 Mon 7:00-9, Level 4 Thurs 6:30-8)
Creative Movement
Pre Ballet
Musical Theater
Hip Hop
Yoga / Pilates

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If the grass is green, the sky is?*
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Click on CLASSES for days and times


1. *Release from liability: I do hereby release Capital City Dance Center and its staff from any liability occurring on or around studio premises, or at any function held at other locations in connection with the dance classes in which the student named above is enrolled. I declare that the student named above is in good health and can participate in dance education classes. Given the nature of dance classes, and with the knowledge that injuries sometimes might occur, I have taken the necessary steps to obtain accident, health, or hospitalization insurance which would cover any sustained injury. In the event of an injury or emergency when I cannot be contacted, I give my permission for you to obtain medical services for the student named above.

2. *Authorization for enrollment: I authorize Capital City Dance Center to enroll the student named on this form in dance classes, and I accept responsibility for the payment of tuition for those classes for which the student is registered. I understand that classes with an enrollment of less than six pupils are subject to cancellation.

3*I understand that the curriculum fee for annual classes is non-refundable and that there are no refunds or deductions for classes not attended.

4. *I understand that the Spring Performance fee is due with registration unless written notice that the student is not participating is received. I also understand that this fee is no longer refundable after December 20th and that we are committed to paying for recital costumes.

5. *I understand that I am obligated to pay the trimester’s tuition if I do not give written notice of the student’s withdrawal from classes by the 10th of the month in which tuition is due.

By submitting this form I agree to items 1,2,3,4 and 5 above.

Please mail or deliver $20 registration fee and $45 family recital fee to:
Capital City Dance Center,
2962 99th Street, Urbandale, IA 50322


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