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Online Registration
Online registration will close at 11:59 pm (eastern) on Wednesday, September 26, 2012.
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Indicates required field
Dancer's Name
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First
Last
Dancer's Age
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5
6
7
Dancer's Birthday (mm/dd/year)
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Dancer's Address
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City
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State
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Zip Code
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Dancer's Home Phone (area code first)
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Parent's First Name
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Parent's Last Name
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Parent's Contact Number (area code first)
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Parent's E-mail (IMPORTANTcamp info will be sent here)
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In case of an emergency, who should we contact? (#1)
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Phone Number (area code first)
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Relation to Dancer
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In case of an emergency, who should we contact? (#2)
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Phone Number (area code first)
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Relation to Dancer
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Does the dancer have any food allergies?
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Yes
No
If yes, please explain in detail.
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Does the dancer have any serious illness(es) or medical condition(s) we should know about?
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Yes
No
If yes, please explain in detail.
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Physical activity can sometimes cause minor mishaps to occur. Therefore, in the event a dancer sustains any injury, illness, or any other physical harm in connection with participation in the Praise Movement School of Dance, Inc. programs, I agree that neither the Praise Movement School of Dance, Inc, nor any of its instructors, employees, agents, or principles shall be liable or responsible for any claims, costs, liabilities, expenses, or judgments (including for example doctor fees, hospital expenses, and personal injury claims resulting from any such injury, illness, or physical harm.) The acknowledgement of risk and waiver of liability, having been read thoroughly and understood completely, is signed voluntarily as to its content and intent.
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Yes
No
• Praise Movement School of Dance, Inc. believes that the word of God is the final authority by which our lives are governed. Hence, references to the word of God will be used inside and outside of dance instruction to teach Christian living principles and Christ-like behavior. • For dance instruction, Praise Movement School of Dance, Inc. only uses music that uplifts and praises God. The types of music we use are traditional gospel, contemporary Christian, and Christian rap. I have read the above statements, and I understand Praise Movement School of Dance, Inc.’s beliefs and teaching principles. I understand that Praise Movement School of Dance, Inc. is operated by these beliefs and principles and that my child is expected to honor them as long as she is a participant.
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Yes
No
I understand that all fees are non-refundable and the sessions may be changed, cancelled, combined, or rescheduled as required. In the event that the dancer registered above decides to discontinue any session, I will inform Praise Movement School of Dance by phone or e-mail, and I understand that I will not receive any refunds. *
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Yes
No
I understand that because regular attendance is necessary for dancer development, dancers are required to attend every class. I understand that instruction builds skill upon skill from week to week, and that the school's goal is to have dancers at a point of obvious development and performability by the semester's/session's end. It is the school's policy that each dancer (family) be contracted to maintain attendance from beginning to end of the semester/session. We require that no dancer be withdrawn before the semester's end, for her benefit. I understand Praise Movement's attendance policy.
*
Yes
No
Your registration is
invalid
without payment. Please visit the
"Submit Payment"
page after this registration is complete.
Submit
Dance with purpose!
