2020 NCD Summer Dance Intensive Registration Form

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Fill out this Google Form application if you'd like to participate in the 2020 summer camp

Email *

First Name *

Middle Initial

Last Name *

Chinese Name (if applicable)

Sex *

Date of Birth *

YYYY

Zip Code *

City *

Address *

Home Phone Number

Cell Phone Number *

Parent/Guardian Name

If applicant is under the age of 18.

Emergency Contact Name *

Emergency Contact Phone Number *

Which session do you plan on attending? *

Answer EVEN IF you do not plan on attending the full session

Session 1 (6/8 - 7/3)

Session 2 (7/6 - 7/31)

Required

Which fee format are you choosing? *

We have decided on two types of fees for this summer session; this question on this form is just to help us organize/keep track of who is choosing what payment plan. Please refer to the newcenturydance.com website for information regarding the actual transaction process.

Will pay for a full session at a time ($900 per full session + FREE regular classes)

Will pay for a week at a time ($300 per week)

A combination of both (if planning on attending both sessions but only for part of 1)

Liability Clause. Please enter the student's or guardian's name (if student is under the age of 18) as a signature. *

I agree to hold New Century Dance harmless, and release New Century Dance from any and all liabilities and/or property damage and/or loss which may be suffered by me or my child arising our of or in any way related with attending classes/activities

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