ADI Fall 2021 Class Registration

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Please use this form to register for Fall 2021 classes for Austin Dance India.

Please visit https://www.austindanceindia.com/registration for more information on classes, fees and registration.

Payment due by first day of class (Sat Aug 28; Tuesday Aug 31):
1. PayPal to austindanceindia@gmail.com -- make sure you choose "Friends and Family" option
2. Venmo to @Anu-Naimpally (for confirmation: last 4 digits of number are 7258)
3. Cash or check due on the first day of class (make checks out to Austin Dance India)

Dancer Name *

Class Registration (check as many as apply) *

Yoga and Conditioning All Levels Drop-In (Saturdays 7:30am-8:30am) -- Please email Anu if interested in this class

Level 1 (Saturdays 9am-10am)

Level 2 (Saturdays 10am-11am)

Level 2/3 Technique (Saturdays 11am-11:30am)

Level 3 Teens (Saturdays 11:30am-12:30pm)

Beginner Class (Tuesdays 6:45pm-7:30pm) with Purna

Adult Intermediate (Tuesdays 7:30pm - 8:30pm)

Other:

Required

Dancer Age *

Parent Name *

Parent Phone Number *

Parent Email Number *

Emergency Contacts (Name, Phone Number) *

Are you on WhatsApp? (This is how we communicate with parents) *

Yes

Allergies or health concerns

Liability Waiver: I realize that participation in dance classes and activities could involve some possible personal injury. Despite precautions, accidents and injuries may occur. By signing this release form, I (the parent/guardian or dancer) assume all risks related to the use of any and all spaces used by Austin Dance India. I will not hold Austin Dance India liable for any personal injury or any personal property damage, which may occur on the premises before, during or after classes. Please type your name below indicating that you agree to this waiver. Parent/Guardian must sign, unless dancer is 18+. *

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