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Princeton Dance & Theater Studio
Princeton Forrestal Village
116 Rockingham Row
Princeton.NJ 08540

2008 -2009 REGISTRATION FORM

Today's Date:

Student Date of Birth Age
Street Address City State Zip
School Attending in Fall School Grade in September
Phone: Home Work Cell
Parent or Guardian EMAIL
Billing Address State Zip
Class Registering for:
Parent or Guardian Special Skill or Talent willing to share?
Other Dance Schools Attended Dates
  Dates

Dates
How did you first hear about us?

Princeton Dance & Theater Studio will do its best to provide a safe environment and training regimen for our students. However, despite the best of circumstances, there is a possibility of injury during class or rehearsal. Please read and sign the waiver below.

WAIVER

I certify that my child is in good health and capable of participating in all activities and classes. I hereby release and forever discharge PDT Studio of and from any and all claims, demands, rights or cause of action of whatsoever kind or nature, arising from, or by reason of, any and all known or unknown, foreseen or unforeseen bodily or personal injuries and the consequences thereof.

A late fee of $25.00 will be assessed for payments over five days late. 5% of owed tuition will be billed for each month that money is overdue. Installment payments include service fees. $25 Change/Drop Fee after classes have begun. Tuition Paid is Non-Refundable.

Signature of Parent or Guardian Date
Signature of Student (18 or older) Date
I hereby give permission for my child to be photographed for promotional use.
I hereby give permission for my child to be filmed during performances and/or special events. These tapes/dvds may be sold by PDT Studio to PDT Studio parents and children.
Initial
Initial

Please send your registration form and check to the following address.

Princeton Dance and Theater Studio
116 Rockingham Row
Princeton, NJ 08540

 

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