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Registration Form Dance Curacao

October 5th till October 10th 2015


Please fill in on your computer, save it and e-mail to dancecuracao@gmail.com
Remember:

You will get a confirmation by mail that you have a place in the class(es)

Registration forms are processed in the order received, so register early!


You are considered registered the moment your payment is received, payment within 3 days after
confirmation mail is required

Name

Age
Male/Female

Address

Island

Phone (Home)

Phone (Mobile)

Email
Please read carefully the daily class schedule and fill in your choice.
9.00am 10.30am

16.30 -18.00pm

18.15-19.45pm

Hip hop

Modern adv

Jazz adv

Jazz int

Modern int

Remember:

Class sizes are limited. Therefore you have to indicate the priority of your classes within each time period with 1
(first choice) and 2 (second choice). In case you would like to take the alternative class at the same time, if your
first choice is full.

To enroll in hip hop class you should be 11/12 or 13 years.

To enroll in the advanced classes you should have had at least 4 years of consistent experience and you must
be 15 years of age.

For the intermediate level you must be at least 14 years of age and you must have a minimum of 2 years dance
experience.
Calculate your fees for this week:
Naf
1 week, One class a day

75

1 week, Two classes a day

150

Registration Fee (non- refundable)

10

Total Fees

Naf

Liability Agreement:
I recognize and understand the risks of physical injury inherent in dance and dance training and I fully assume those
risks. I will not hold Dance Curacao or any of its teachers liable for injuries or illness while participating in Dance Curacao
workshops and auditions. I understand and agree that it is my sole responsibility to safeguard my personal property.
Participant signature

datum

Parent/guardian signature
(if participant is under 18)

naam