Project C Fall Registration
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电子邮件地址 *
Student Name
Student date of birth and current age *
Parent/Guardian Name(s) *
Mailing Address *
Home Phone *
Parent/Guardian 1 cell phone *
Parent/Guardian 1 email *
Parent/Guardian 2 cell phone
Parent/Guardian 2 email
Student phone number
Student email
School *
Grade *
Emergency Contact *
Relationship to Student *
Emergency Contact Phone *
Please list below any of the student's allergies, medical conditions, or medications.
Primary healthcare provider *
Phone number *
Insurance Provider *
Member Name
Policy ID
Indicate below the average level of class your student was registered for last season. Please note that level recommendations for this year are the same as last year (unless you have already been notified otherwise). Everyone's training was interrupted by COVID so we will use the first two weeks of classes to ensure appropriate leveling. If splitting please select 2. (Beg=1/2, Int=3/4, Adv=4/5) *
必填
Please select the classes you would like to register for *
必填
Please add up the hours for all classes selected above and put the total below. (Note that there will be some odd numbers due to small gaps between classes for cleaning) *
Registration in the open level Saturday Tumbling class with Michele will require a separate disclosure form for hands-on teaching. Due to the nature of tumbling/acro, hands-on teaching is required for student safety. Due to COVID-19 this is the only class with hands-on teaching and it must therefore have an additional waiver. Please indicate your understanding below. *
You will receive a registration confirmation email. There will be a safety waiver attached that must be completed, signed, and returned to Project C before your student can participate in class. Please click below to indicate you understand. *
必填
Upon receipt of this registration form we will check to make sure each student is placed in the correct classes. You will then be contacted via email with a link to an online portal where you can submit payment. Please click below to indicate you understand and agree *
必填
This semester of dance is being held with the following COVID-19 safety measures in place: All temperatures must be checked before leaving the house. Masks will be worn at all times (including while dancing). There will be HEPA air filters in each studio. Between every class a hospital grade anti-viral disinfectant will be sprayed over all studio spaces and equipment. Please click below to indicate you understand and agree with these safety measures *
必填
Click below to indicate you have read and understand our tuition breakdown and policies (attached to the registration email) *
必填
How did you hear about Project C? Please only answer if you are new with us this season. If you were a personal referral, please let us know who told you about us!
Please note that our schedule has been made based on the current schedules for public schools and is therefore subject to change. If a future conflict creates a need for a change in registration we will help you resolve it. Click below to indicate that you understand. *
必填
您回复的副本将通过电子邮件发送到您提供的地址。
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