School of the Arts at the National Museum of Dance
FALL REGISTRATION FORM 2012-13
NATIONAL MUSEUM OF DANCE SCHOOL OF THE ARTS
Student Name
*
First
Last
Age
*
Address
*
Street Address
Address Line 2
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Email
*
Phone Number
*
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Parent / Guardian Name for minors
First
Last
Select your classes
Ages are suggested. Instructors will decide the best suitable class for the dancer considering ability and experience.
*
NEW Acting Class for Teens 13-18yr Wed 4-5:30pm April 10-May 1 $50 4 weeks
Creative Movement / 3-4yr Mon. 1:30-2:30pm (CLASS is FULL-Select ONLY for waiting list)
Creative Movement / 3-4yr Mon 4:30-5:30pm (CLASS is FULL-Select ONLY for waiting list)
Creative Movement / 3-4yr Wed 4:30-5:30pm (CLASS is FULL-Select ONLY for waiting list)
Pre-Ballet / 5-6yr Mon 5:30-6:30pm
Pre-Ballet / 5-6yr Wed 5:30-6:30pm
Ballet A1 / 7-8yr Tue 5:00-6pm Beginner
Ballet A2 / 7-8yr Thur 4:45-6pm Intermediate
Ballet B1 / 9-10yr Wed 4:30-6pm Beginner
Ballet B2 / 9-10yr Tue 4:30-6pm Intermediate
Ballet B2 / 9-10yr Thur 4:30-6pm Intermediate
Ballet C / 11- 18yr Tue 6-7:30pm
Ballet C / 11- 18yr Wed 6-7:30pm
Ballet C / 11- 18yr Thur 6-7:30pm
Ballet C / 11- 18yr Sat 10-11:30pm
Discipline Dancers Training by Invitation int/adv Tue 5:30-7pm
Discipline Dancers Training by Invitationint/adv Thur 5:30-7
Discipline Dancers Training by Invitation int/adv Fri 5:30-7pm
Discipline Dancers Training by Invitation int/adv Sat 10-11:30am
Beginner Ballet / Teens & Adults Mon 6:30-8pm
Beginner Ballet / Teens & Adults Thur 10-11:30am
Pointe 1 for Ballet C Wed 7:30-8:30
Pointe 1 for Ballet C Sat 11:30-12:30
Pointe 2 for DD Training int/adv
Open Ballet /Teens & Adults int/adv Mon and/or Wed 9:30-11am Afternoons with Discipline Dancers Training
Open Ballet / Teens & Adults int/adv Sat 10-11:30am
Open Jazz / Teens & Adults int/adv Mon 6:30-8pm
Open Modern / Teens & Adults int/adv Wed 6:30-8pm
Open modern / Teens & Adults int/adv Tue 9:30-11am
Belly Dance Beginner / Teens & Adults Tue 7:30-8:45
Belly Dance Int-Adv / Teens & Adults Thur 7-8:30
Jazz 1 / 7-10yr Thu 6-7pm
Broadway Jazz / 10+Teens & Adults Fri 6:30-8pm (CLASS is FULL-Select ONLY for waiting list)
Hip-Hop I / 7-13yr Fri 4:30-5:30pm
Hip-Hop 2 / Int. 10yr+ Teens/Adults Fri 5:30-6:30pm
ZUMBA / Teens & Adults Mon & Wed 5:30-6:30 Friday 9:30-10:30am
Irish Step 1 Beginner / 6yr+ Teens & Adults Tue 6-6:45pm
Irish Step 2 Intermediate / 6yr+ Teens & Adults Tue 6:45-7:45
Irish Step 3 Advance / 6yr+teens & Adults Tue 7:45-8:45
Private Lessons
Payment Choice.
We ONLY accept cash or checks payable to School of the Arts. We do not have registration fees. Payment can be made at the first class.
*
Full Trimester
Class Card (8 classes card) Available ONLY for adults
By single class (Only open classes-full rate)Only adults
As legal guardian of the dancer listed on this form I hereby consent for him/her or ME to participate in classes conducted by THE SCHOOL OF ARTS AT THE NATIONAL MUSEUM OF DANCE. Recognized that any activity involving movement can create the possibility of injury. I confirm that my child is (I am) in good health and I authorize simple first aid if needed. It is hereby agreed that I, my child, adopted, or otherwise, my executor, waive and release all rights and claims for damages that I may have at any time against THE SCHOOL OF ARTS AT THE NATIONAL MUSEUM OF DANCE, it’s teachers, officers or agents for injury or damage in connection with the school.
I hereby give my permission, as the parent/legal guardian of the participating student named here, to the School of the Arts at the National Museum of Dance for the use and reproduction of the video footage, photographs or voice recordings of this participating student or myself. I understand that the use of the participant's image and voice will be primarily for the purposes of education and/or promotion by these organizations.
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Please state any known illness, injuries, allergies (include allergies to medications)
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