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This secure page is designed for you to register your 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. Need to add a child instead? Use this form to add a child to your existing account.
I agree that Creative Caterpillar, LLC (Dancercise Kids) may use this e-mail address to send me eStatements and/or communications regarding my account, periodic curriculum newsletters and occasional promotions regarding events and offers. I understand that - at any time - I may opt-out of all communications except eStatements and/or communications regarding my account by replying to any email with "Unsubscribe" as the first word of the subject heading of my reply, or by clicking the Safe Unsubscribe link if provided. Creative Caterpillar, LLC does not provide your e-mail or other contact information to any other party.
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.
You must provide a valid credit card in order for your child to participate. This is a secure form, and your credit card details are stored immediately and securely at Authorize.net, a reputable provider of credit card services that is approved by all of the major credit card companies for secure storage of credit card data in compliance with the PCI (Payment Card Industry) standards. Creative Caterpillar, LLC does not keep your card number in any form other than via authorize.net's secure services, where your card information is masked and unavailable even to our staff. All classes are billed approximately 2 weeks in advance to your credit card. See our terms and conditions for our refund and credit policy. Upon completion of this form, your card will be charged 1c in order to verify the card information - it will be immediately voided and no charge will remain on your card.
I agree that Creative Caterpillar, LLC may charge my credit card for any balance due. I understand that classes are billed monthly approximately 15 days before the start of the month and that no refunds will be given. I understand that a one-time $10 registration fee will be applied per child registered
