2023 XPD Summer Class Registration

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XPD will be providing training and classes throughout Summer!

Payment:
Zelle: adm@xpdance.com
Check: Xiaopei Chinese Dance
Please include student's names and which camp they are attending in the memo.

I am a *

Brand NEW Student (NEVER took classes at XPD, or was not a 2022-2023 XPD Student)

Returning Student (Took classes during the 2022-2023 XPD Year)

Vacation *

If you are going on vacation and will miss class, please give us the dates that you will be gone. If unsure at the moment or no vacation schedule, type N/A

Student's Name (ENGLISH) *

1 form per student.

Summer Classes *

TUE 11:00a-12:30p Adult Chinese Dance - Beginner (Starts on 6/13)

TUE 5:00p-7:00p Chinese Dance - Intermediate/Advanced Training & Technique (11+ yrs)

WED 5:00p - 6:30p Chinese Dance - Beginner (5 - 7 yrs)

WED 6:30p - 8:00p Chinese Dance Beginner/Intermediate Training & Technique (8+ yrs)

SAT 10:00a-11:30p Ballet - Beginner (4 - 7 yrs)

SAT 11:30p-1:00p Ballet - Beginner/Intermediate (8+ yrs)

SUN 9:30a-11:00a Adult Chinese Dance - Beginner/Intermediate

SUN 11:00a-12:30p Chinese Dance - Beginner (4 - 7 yrs)

SUN 1:00p-2:30p Chinese Dance - Beginner/Intermediate(8 - 11 yrs)

SUN 2:30p-4:00p Chinese Dance - Beginner/Intermediate(12+ yrs)

SUN 4:00p-5:30p Tumbling+Dance Tech(5 - 9 yrs)

SUN 5:30p-7:00p Tumbling+Dance Tech(10+ yrs)

Required

Injury(ies)/Allergies

Please list any injuries or allergies that the Student may have that XPD teachers and staff should be aware of.

LIABILITY AND WAIVERS

Please sign below to show you agree to the liabilities and waivers. *

I authorize emergency medical treatment for student(s) for on-site/in-studio classes.

I understand that Xiaopei Chinese Dance, Inc. is not responsible for damaged, lost, or stolen personal property.

I understand that Xiaopei Chinese Dance, Inc. will not held accountable for any illness or injury sustained during any class, camp, or any other lessons taken at Xiaopei Chinese Dance.

I have read and agree to abide the SCHOOL RULES AND REGULATIONS https://bit.ly/3fRPnex

I have read and agree to abide by the SCHOOL TUITION POLICY https://bit.ly/3juFWoE

I have read and agree to sign the RELEASE OF LIABILITY, INDEMNIFICATION, AND PUBLICITY AGREEMENT https://bit.ly/3jyaWD9

Required

Signature or Parent/Guardian Signature *

By signing your FULL NAME here, you are agreeing that you have carefully read the WAIVERS and agree to its contents. You are aware that this is a complete release of liability and the above waivers contains indemnification from you to the Xiaopei Chinese Dance released parties and sign it voluntarily with such knowledge. You also agree that all information filled out in this form is complete and true and hereby give permission for Xiaopei Chinese Dance to contact you via the methods you've selected and provided above.

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