Class Registration 2020/21
New Creation Dance Kids Weekly Class Registration (September-May) for New & Returning Students
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Email *
Student Information:
Student Name *
Student Age *
Student Birthday *
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Student Dance Experience *
Student Allergies/Medical Issues We Should Be Aware of *
Contact Information:
Parent/Guardian Name (if under 18) *
Contact Email Address *
Please provide the email address you would like to receive important communications about classes throughout the year.
Contact Phone Number *
Back-up Emergency Contact Name & Phone Number *
Mailing Address *
Classes:
Class sizes are limited and offered based on enrollment. Students may be split into groups by age/level based on size of class and teacher discretion.
Class Selection *
Required
Release:
I give New Creation Dance Company and its members permission to take pictures/videos of myself/my dependent during New Creation dance activities (including dance classes, workshops, fundraisers, rehearsals, and performances), and also to use those pictures/videos for promotional purposes on their website, social media pages, fliers, or for any other form of advertising in the future.
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I understand that dancing has associated risks, including that of physical injury. I therefore agree to assume all such risks, and exempt, release, and indemnify New Creation Dance Company and its members from any liability loss or injury to me/my dependent or my (dependent’s) personal property which may occur due to any cause in relation to participation in New Creation activities (including dance classes, workshops, fundraisers, rehearsals, and performances). *
Agreement required for class registration.
Required
Name (Parent/Guardian Name if under 18) *
Please check below indicating you have read and agree to the Class & Payment Policies. (Please contact us if any questions at newcreationdanceclasses@gmail.com.) *
Required
A copy of your responses will be emailed to the address you provided.
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