MASTER CLASS REGISTRATION

 
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Maggie Small

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Nick Anthony

 
 

BALLET MASTER CLASSES WITH MAGGIE SMALL HIP HOP MASTER CLASSES WITH NICK ANTHONY
Sunday, October 20th Sunday, November 10th
Ages 7-11 1:00-2:15PM $35 Ages 6-9 12:30-1:30P $45 *
Ages 12+ 2:15-3:45PM $40 Ages 10+ 1:30-3:00PM $55 *
*Save $10 by registering BEFORE 10/15!

Sunday, December 15th
Ages 7-11 1:00-2:00PM $30
Ages 12+ 2:00-4:30PM $65
OR
Ages 7-11 Enroll in BOTH Oct. 20th and Dec. 15th $55
Ages 12+ Enroll in BOTH $95

MASTER CLASS REGISTRATION FORM

Student Name *
Student Name
Classes
PARENT CONTACT INFORMATION *
PARENT CONTACT INFORMATION
Cell Phone *
Cell Phone
Secondary Parent/Guardian Name
Secondary Parent/Guardian Name
Secondary Parent/Guardian Phone
Secondary Parent/Guardian Phone
Address *
Address
Please indicate anything of which the studio/instructor should be aware
Note: Parent will always be contacted first
Emergency Contact Phone *
Emergency Contact Phone
Parent/Guardian Signature *
I understand that every effort will be made to insure the safety of students during participation in Aspire Dance Academy activities. I understand that there is an inherent risk in dance class participation and I therefore accept full responsibility for myself (and/or my child) in case of mishap and release Aspire Dance Academy and the instructors of all responsibility. Aspire Dance Academy will not tolerate bullying. Should any incidents occur, dancer and parent must notify director immediately. I authorize the use of incidental photos of me/my child in Aspire Dance Academy promotional materials.