2018/2019 Season On-Line Registration & Waiver
Name of Student
Students Birth Date
Please Select Class
Kinderdance (ages 3 & 4), Tuesdays, 3:45 pm - 4:30 pm (.75), $230
Kinderdance (ages 3 & 4), Thursdays, 3:30 pm - 4:15 pm (.75), $230
Ballet I (ages 5 &6), Wednesdays, 4:30 pm -5:15 pm (.75), $230
Ballet II with Tap (ages 7-10), Thursdays, 4:30 pm - 5:30 pm (1.0), $306
Ballet III with Tap (ages 9+), Mondays, 3:00 pm - 4:00 pm (1.0), $306
Ballet IV (ages 11+), Mondays, 4:00 pm - 5:30 pm (1.5), $459
Ballet V with Tap (ages 11+), Tuesdays, 4:45 pm - 6:00 pm (1.25), $383
Ballet V with Pointe (ages 11+), Wednesdays, 5:30 pm - 6:45 pm (1.25), $383
Adult Dance, Tuesdays, 10:30 am - 11:30 am (1.0), $144 per 8 Week Session -
Parent/Guardian Name (n/a for Senior Dance)
Mailing Address with Zip Code
Are there any concerns the student has that the teacher should know about, i.e. health, developmental?
By selecting "yes" below, I agree that neither Carolyn Stine McLaughlin or Movement Arts Atlanta (MAA) nor any of its employees, independent contractors, directors and/or officers will be held liable for any injury which may occur to my child while attending programing. I hereby release Carolyn Stine McLaughlin, MAA and their respective employees, independent contractors, directors and/or officers from any and all legal or financial claims. Also, I agree that images of my child taken during MAA programing can be used to document and promote MAA.
Name of Signator
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