Menu

Upcoming Events

Archive

Registration Forms

                                 ALMA PERFORMING ARTS

                                               20010-2011 PROGRAM

                            Phone 602 402 4660    Alma Schnell Director

Student's name_____________________________________________________

Address___________________________________________________________

City______________________________________Zip_______________________

Phone_________________________Cell phone_________________________

Email___________________________________________________________

Parents'/Guardians' Name__________________________________________

Address (If different)______________________________________________

Emergency contact Name___________________________________________

Phone___________________________________________________________

Classes you wish to be enrolled in:___________________________________

List all dance training and how long__________________________________

How did you hear about us ________________________________________

Birthday______________________________________________________

Alma Performing Arts Studio, Dance Time, and Alma Schnell request that upon entering the program of study, students should have a physical exam by your professional physician to check the feasibility of a dance or exercise program.

I, the undersigned, agree to consult with my physician with respect to any past or present illness, injury, blood pressure, knee problems, or any other pre-existing conditions of any type whatsoever that may be affected by my participation in dance or rehearsals. I the undersigned acknowledge the hazards in dance programs and accept the risks involved. I agree to indemnity, defend and hold harmless Alma Latina Dance Studio, Dance Time, and Alma Schnell, its offers, agents, and employees from any and all loss, liability, cost, or expense arising out of participation in dance or rehearsal as a result of injury sustained in class or any performance.

By signing I do allowed Alma Performing Arts to use the student's photo for TV. Print Media, and Website.

 

Date                                              Signature                                                     ____

   AlmaPerformingArts Registration Form PDF