AKBA - Elbrus USA Dance Registration Form

Impossible d'ouvrir ce fichier car JavaScript n'est pas activé dans votre navigateur. Activez-le, puis rechargez la page.

Parent/ Guardian or Student Email if registering yourself.

Per student classes are $49 per month.

Group 1 - Two classes a week 1 hr per class

Group 2 - Two classes a week 1.5s hr per class

Group 3 - Two classes a week 2 hrs per class

Group 4 - (Ages 40+) are $29 per month. One class a week 1hr per class

Adresse e-mail *

Registrant *

Who is filling out the form?

I am a parent/guardian and am registering on behalf of the student(s)

I am registering myself for dance class (must be above 18)

Your Full Name *

full name of person filling out the form

Your phone number *

Your phone number will be added to the WhatsApp group message for any announcement or updates.

How many students are you registering? *

Class Schedule:

Group 1 - Ages 4-9. Friday 6:15pm to 7:15pm and Sunday 2:00pm to 3:00pm

Group 2 - Ages 10-15. Friday 7:15pm to 8:45pm and Sunday 3:00pm to 4:30pm

Group 3 - Ages 16 and older. Wednesday: 7:30pm-9:30pm and Sunday: 6pm-8pm

Group 4 - Ages 40+ Sundays 4:45 to 6pm

One Student - $49/month

Two Students - $98/month

Three Students - $147/month

Four Students - $196/month

Group 4 (40+) - $29/month

Student(s) - Full Name and Birthday *

Example: John Doe 10/30/2010, Jane Doe 09/27/2012.

Effacer le formulaire

N'envoyez jamais de mots de passe via Google Forms.