East Village Dance Project Fall Semester 2017 Registration Form
Fall semester class dates: September 12th- December 23rd, 2017

Please fill out the below form to register your dancer for our Fall semester of Youth and Teen dance classes.
For Adult classes, visit: https://goo.gl/forms/m2jETD7UNmCFhzFJ2

** Please provide a new entry for each student taking class, even if students are siblings **

For questions, contact us at eastvillagedanceproject@gmail.com.

Contact Information
Student First Name
Your answer
Student Last Name
Your answer
Birthdate
MM
/
DD
/
YYYY
Address
Your answer
Address Line 2
Your answer
City
Your answer
State
Your answer
Zipcode
Your answer
Parent/Guardian First Name
Your answer
Parent/Guardian Last Name
Your answer
Email
Your answer
Alternate Email (if you wish, please provide a second email contact where you would like us to send schedule updates/studio business)
Your answer
Phone Number
Your answer
Alternate Phone Number
Your answer
Emergency Contact First Name
Please provide an alternate contact in case of emergency
Your answer
Emergency Contact Last Name
Your answer
Emergency Contact Phone Number
Your answer
Class Selection
Please select all classes in which you wish to enroll your child. For full class descriptions please visit our website, www.eastvillagedanceproject.com.

PLEASE NOTE IF CLASSES ARE FULL.

Tuesday
Wednesday
Thursday
Friday
Saturday
Rates
All new students are welcome to come in for a free trial class!


• creative technique, pointe 3 & 4 ............ $325
• modern 2 ................................................. $338
• modern 3, 4/5, ballet 3, 3/4, 4, 5, 6 & 7 .......... $378
* Teen Company................................................. $140


***** 50% deposit is due the first week of classes *******

Balance is due by October 14th.

Students enrolled more than once a week and second family members receive a 10% discount on the second class, a 20% discount on the third class and 40% discount for 4 or more classes.

For questions regarding rates, email eastvillagedanceproject@gmail.com.

Total amount due
Please calculate full tuition, including multiple class discounts
Your answer
I wish to pay...
Charlotte Ruby Cantor Scholarship Programs
At EVDP, our mission is to provide dance classes to all, regardless of financial situation. If you wish to be considered for work study or tuition assistance, please check the below box and you will receive an online application within 7 days.
For new students: How did you find out about our programming?
PHOTO RELEASE: Please let us know if you are comfortable with the possibility of your student's image appearing in our future promotional materials. See full release below.
1. East Village Dance Project requests permission to take, reproduce, use, exhibit, display, publish, broadcast, distribute and create photographs and/or photographic, film or videotaped images of the student named above in connection with the activities of the Avenue C Studio for promoting, publicizing, or explaining the Studio or its activities. This release includes, without limitation, the right to publish such images in East Village Dance Project marketing brochures, on the Studio’s internet website, in public relations/promotional/advertising materials and on social media.
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