ASTORIA DANCE CENTRE VIRTUAL SUMMER ONLINE 2020 REGISTRATION FORM
42-16 28th Avenue 2nd Floor, Astoria, NY 11103 718.278.1567
Submit one registration form per child.
Today's Date:
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Are you a New Student or Returning Student?
Clear selection
Age: *
Birth Date and Year: *
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Student's First and Last Name: *
Parent / Guardian Name (if under 18): *
Phone Number: *
Email address: *
Mailing Address: *
City, State and Zip code: *
Medical conditions, disabilities or medications that we should know about: *
Years COMPLETED at Astoria Dance Centre: *
Elsewhere:
JULY SUMMER PROGRAM FEES MUST BE PAID IN FULL. THERE IS A NON-REFUNDABLE INDIVIDUAL REGISTRATION FEE OF $10.00 WE DO NOT GIVE REFUNDS OR CREDIT ON YOUR SUMMER REGISTRATION FEE OR YOUR SUMMER CLASS FEES.
SUMMER TUITION FEES ARE DUE AT THE TIME OF YOUR REGISTRATION
1 hour classes meet 1x a week for 4 weeks
45 minute classes meet 1x a week for 4 weeks
30 minute classes meet 1x a week for 4 weeks
Classes I would like to sign my child up for:
Ages 9 & Up
30 Minute Private Lessons - $35.00 per lesson or $120.00 for 4 lessons. No refunds on missed virtual private lessons. To sign up for your private lesson, fill out the registration form and you will receive an email with the Sign Up Genius link to book your time.
For more information on weekly options or single classes please email Dance@astoriadancecentre.com
Registration Fees and Tuition Fees *
Required
I understand that Astoria Dance Centre, its employees and staff will be held harmless from any liability or claims resulting from your child's or your participation in this program. I assume all risks in the event of accident or injury to property or person(s) resulting in any activity. I also understand and I will not hold Astoria Dance Centre responsible for loss of personal items. Please be aware that Astoria Dance Centre may take photographs of its students for use in promotion of the school. If this is not your wish, please attach a letter stating so to this registration form. By signing below I agree to all of the above conditions of participation at Astoria Dance Centre. This form must be signed in order for your child to participate in this virtual program. *
Required
Electronic Signature or Parent/Guardian if student is under 18: *
*SCHEDULE IS SUBJECT TO CHANGE OR CANCELLATION PENDING ENROLLMENT.
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