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 2024 EDA SPRING SEMESTER CURRENT STUDENT REGISTRATION FORM
Eva Dance Academy Registration

2024 1/8-6/1

Kindly fill out the form completely to ensure updated notification and newsletters from EDA.
We can be reached at the following:
Email: info@eda-us.com
510-499-9655(Text) /510-410-0002(Text)
WeChat: 408986208





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Email *
Registration Type *
Required
Student FIRST & LAST Name *
中文名 If none,N/A *
Birthday *
MM
/
DD
/
YYYY
Classes 
Select classes you are registering for:
Parent/Guardian Name*
Adult Students type N/A
*
EMERGENCY CONTACT INFORMATION
(Area code) ***-****

*
Contact Email *
LIABILITY AND WAIVERS
Signature or Parent/Guardian Signature*
By checking the boxes below, you are agreeing that you have carefully read the WAIVERS and agree to its contents.
*
Required
I authorize emergency medical treatment for student(s) for on-site/in-studio classes.
*
Required
You are aware that this is a complete release of liability, and the above waivers contains indemnification from you to the Eva Dance Academy released parties and sign it voluntarily with such knowledge.
*
Required
I have read and agree to accept the RELEASE OF LIABILITY, INDEMNIFICATION, AND PUBLICITY AGREEMENT https://drive.google.com/file/d/1YbeRed6i5jT36dkvU6PQ_dCOwKWR1WKy/view?usp=sharing
*
Required
You are aware that this is a complete release of liability, and the above waivers contains indemnification from you to the Eva Dance Academy released parties and sign it voluntarily with such knowledge.
*
Required
I understand that Eva Dance Academy will not be held accountable for any illness or injury sustained during any class, camp, or any other lessons taken at Eva Dance Academy.
*
Required
I understand that Eva Dance Academy is not responsible for damaged, lost, or stolen personal property.
*
Required
I have read and agree to follow the SCHOOL RULES AND REGULATIONS
*
Required
I have read and agree to follow by the SCHOOL TUITION POLICY
*
Required
You also agree that all information filled out in this form is complete and true and hereby give permission for Eva Dance Academy to contact you via the methods you've selected and provided above.
*
Required
A copy of your responses will be emailed to the address you provided.
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