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    Summer 2014 Registration Form

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    api-252184858
    This registration form is for summer classes at Howard County Ballet. It requests information such as the student's name, age, date of birth, contact information, and class selections. Payment details are provided, including class tuition, additional programs like day intensives, and fees. The form notes that tuition is non-refundable and requires signature agreeing to hold Howard County Ballet harmless for any injuries.

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    Summer 2014 Registration Form

    Uploaded by

    api-252184858
    211 views1 page
    This registration form is for summer classes at Howard County Ballet. It requests information such as the student's name, age, date of birth, contact information, and class selections. Payment details are provided, including class tuition, additional programs like day intensives, and fees. The form notes that tuition is non-refundable and requires signature agreeing to hold Howard County Ballet harmless for any injuries.

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    summer 2014 registration form

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    This registration form is for summer classes at Howard County Ballet. It requests information such as the student's name, age, date of birth, contact information, and class selections. Payment details are provided, including class tuition, additional programs like day intensives, and fees. The form notes that tuition is non-refundable and requires signature agreeing to hold Howard County Ballet harmless for any injuries.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    211 views1 page

    Summer 2014 Registration Form

    Uploaded by

    api-252184858
    This registration form is for summer classes at Howard County Ballet. It requests information such as the student's name, age, date of birth, contact information, and class selections. Payment details are provided, including class tuition, additional programs like day intensives, and fees. The form notes that tuition is non-refundable and requires signature agreeing to hold Howard County Ballet harmless for any injuries.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
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    HOWARD COUNTY BALLET Summer 2014 Registration Form

    Name:____________________________________________
    Age: __________________________DOB _______________
    Parent Name:______________________________________
    Address:__________________________________________
    Work or
    Cell Phone:__________________________
    Home Phone:______________________________________
    Email: ___________________________________________

    Weekly Classes 6-week Program


    Time/Day

    Class

    ____________________________________________________________________
    ____________________________________________________________________
    ____________________________________________________________________
    ____________________________________________________________________
    ____________________________________________________________________
    Class Tuition _______
    Teen/Adult Class Card-ages 18+ only ($156)

    _______

    Weeklong Day Intensive (Includes bus to NYC)($320)


    After Care 4:00-5:00pm ($10/day)

    _______
    _______

    Registration Fee $10 (New students only)

    _______

    Total Due

    _____________

    Make checks to Howard County Ballet


    I hereby understand and agree that all classes shall be undertaken by me at my sole risk and that Howard County Ballet shall
    not be responsible for any loss or damage resulting from, or personal injury arising out of or connected with, any use of the
    facilities or participation in the classes offered by Howard County Ballet. Tuition paid is non-refundable.

    _________________________________________________________________________
    Signature

    For Office Use


    Payment type: Cash___ Check___ Credit___

    Date

    Date:

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