Give us a call: (559) 432-6292

Registration Form

Adult Liability Form

Submitting a waiver does not guarantee a space in class.  The office must be contacted to secure spaces in programs. 

"*" indicates required fields

MM slash DD slash YYYY
Health History*

Emergency Medical Authorization

Should it become necessary for me to have emergency medical treatment while participating in any activities associated or affliated with Break the Barriers, Inc. (Hereafter “BTB”), I hereby authorize BTB personnel to use their judgement in obtaining emergency medical services. I further authorize any individual selected by BTB personnel to render such emergency medical treatment as he/she may deem necessary and appropriate. I understand that BTB is not responsible for paying any medical or hospital costs incurred on my behalf. Consequently, I understand and agree that any and all such costs shall be my sole responsibility.
Waiver and Release from Liability: To Break the Barriers, Inc., I the above named student hereby acknowledge that my participation in the programs, performances, and classes which are conducted by or affiliated with, Break the Barriers, Inc. is voluntary. I acknowledge that the programs, performances and classes shall expose participants to certain risks, which include, but are not limited to: risks related to the associated physical activities and other risks, some of which may not be specifically foreseeable. I acknowledge that my participation is undertaken with full assumption of all risks associated with the programs, performances, and classes including the risks listed above and all other risks that are not specifically listed above. This release is intended to discharge in advance Break the Barriers, Inc., and its officers, Board of Directors, Advisory Board Members, employees, volunteers, and agents from and against any and all liability arising out of negligence or carelessness on the part of the entities and persons mentioned above. I hereby waive, release, and discharge on my behalf and that of my heirs, dependents, estate and any other representatives, including myself any and all claims which may exist or which may hereafter occur, against Break the Barriers, Inc., and its officers, Board of Directors, Advisory Board Members, employees, volunteers, and agents for any injury, accident, illness, or death arising out of or in any way related to programs, performances, classes and other events which are sponsored or affiliated with Break the Barriers, Inc.
MM slash DD slash YYYY

Break the Barriers Rules & Information

Payment Information

  • No Refunds or Credits of fees paid.
  • Monthly fees are due BEFORE or by the first day of each month. Fees paid after the 1st are considered late and a $10.00 late fee will be charged.
  • Students will be dropped from class if payment has not been received and the office has not been contacted for payment arrangements
  • Payments can be made over the phone using Visa or Mastercard. Payments may also be set up through your online banking and checks will be sent to BTB each month. There will be a $25 service charge for all returned checks. Only cash will be accepted to clear a returned check.
  • All students must give a two week notice when dropping their class. Students have the option of finishing out the current month or stopping the date of the notice with No Credit to their account.
  • Due to our large number of students and limited availability – BTB is not able to accommodate make-ups for classes missed.
  • Break the Barriers is a non-profit corporation. We need to keep classes full so that we can retain staff and accommodate our waiting lists.

BTB does not charge more for the months with five weeks. Those extra days of classes are traded for the major holidays that BTB is closed. BTB is closed one week for Spring Break, Memorial Day, July 4th, Labor Day, Thanksgiving week and one to two weeks in December for Winter Break. We remain open for most Monday holidays, including Presidents’ Birthdays, Veteran’s Day and Martin Luther King’s Birthday.

Dress Code

Break the Barriers is a non-profit corporation with a very large outreach to all abilities and body types. We have a strict dress code that is welcoming to everyone.


  • Students need to wear proper attire that does not restrict movement.
  • NO tummies showing
  • No low-cut shirts (front or back)
  • No spaghetti straps (tank­-style shirts must have a minimum 1 inch shoulder strap)
  • All shorts must have at least a 6 inch inseam (no high cut bottoms or short shorts), biker shorts with a 6-inch inseam may be worn under shorts that do not have a 6-inch inseam
  • NO Jewelry, NO belts, NO hard sole shoes (except tap shoes for dance classes)
  • Long hair must be tied back – NO EXCEPTIONS!
  • No Gum


  • Please do not wear shorts. Leggings that reach at least to the middle of your shin and are tight fitting and hug the body are recommended to protect your skin from fabric burns
  • No loose fitting shirts or pants, as they will get caught in the silks
  • Break the Barriers appropriate leotards and shirts with sleeves are recommended to protect your arms from fabric burns For male students, basketball shorts are not recommended as they are too baggy and will get caught in the fabric. Please choose an exercise pant that is not too loose


  • Water resistant sunscreen
  • One-piece bathing suits (mandatory for all female students, including parents)
  • Swimmers who are in LTS3 and above must wear a swim cap
  • Swimmers in lower level classes, we ask that their hair is tied back


  • Must wear closed toe shoes


Girls Ballet

  • dark solid leotard
  • pink tights
  • pink split-sole ballet shoes (please tuck in elastic ties)

Boys Dance Classes

  • fitted shirt
  • shorts
  • black split-sole ballet or jazz shoes

Hip Hop

  • fitted t-shirt
  • dance pants, shorts, or joggers
  • clean, supportive tennis shoes

Contemporary Classes

  • fitted t-shirt
  • dance pants, shorts, or joggers
  • jazz shoes or barefoot

Contemporary Classes

  • fitted t-shirt
  • dance pants, shorts, or joggers
  • jazz shoes or barefoot

Creative Movement/Tap & Ballet/Tap Classes

  • tap shoes
  • ballet shoes (please tuck in elastic ties)
  • dark solid leotard
  • pink tights


  • Must have clean, barefoot or wearing a gymnastics shoe
  • Break the Barriers appropriate shorts, sweats, and fitted t-shirts are best for boys
  • Break the Barriers appropriate unitards, biker shorts, tank shirts or fitted t-shirts are best for girls
  • Sweatpants okay during winter months


  • Clean bare feet are required
  • Martial Arts uniforms are required by the first belt test
  • First time students can wear loose fitting sweatpants and a t-shirt

*More dress code information can be found on our website

Department Areas

  • NO FOOD in the facility
  • No latex balloons or other latex items in the facility
  • No horseplay in any area of the facility. No running! No fighting! No ball throwing!
  • No Heelys!
  • Non-students MUST be supervised by an adult at all times and NEVER LEFT UNATTENDED at Break the Barriers
  • Non-students are not allowed in the activity areas. All apparatus are OFF LIMITS to non-students. Please help us provide a safe environment.
  • Please notify BTB staff immediately if an injury occurs.
  • Parents are allowed in activity areas to assist the instructors in helping their children feel more comfortable with a completed liability release.
  • We welcome children with various needs. To keep our classes running smoothly, as a parent you may be asked to come out on the activity area to assist instructors. We want this to be the best experience for everyone! Scholarship applications are available in the office.

Additional Information

How did you hear about Break the Barriers?*

Optional Grant Survey

Is there disability in the household?
Is this a single parent household?

Together we can break many barriers!

Please feel free to call us at any time if you have questions (559) 432-6292

Office Hours:

Monday – Thursday 8:30am – 7:15pm

Friday 8:30am – 6:15pm

Saturday 8:30am – 12:15pm

Phones go off one half hour before the office closes