Add a Child To Your Dancercise Account

Dancercise Kids - Add New Child

This secure page is designed for you to add an additional child for Dancercise Kids classes currently offered by Creative Caterpillar, LLC* at licensed child care facilities and other locations in Milwaukee, WI. You will find it helpful to have a copy of our flyer or other material with you as you complete this form.

Parent (Your) Information

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Child Information

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Child Care / School Information

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Site Information

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By checking this box, I am acknowledging that I realize that Creative Caterpillar, LLC offers a comprehensive program of activities for children including various forms of exercise, dancing and tumbling that can result in physical injury. While our instructors make every effort to ensure the children's safety, I will not hold Creative Caterpillar, LLC, its employees or any of its subsidiaries or affiliates liable in the highly unlikely event that my child should sustain an injury. I agree to allow Creative Caterpillar, LLC to use the likeness of my child in photographs and/or video solely for advertising and promotional purposes without compensation to my child or myself.

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