summerregistrtion

SUMMER At SVDC
2011
Registration Form
To register, fill out form, press submit. You will be taken to a secure
payment site to complete registration process.

Child's Name:

Parent's Name:

Address:

Phone #:

Age/DOB:

Email:

(Check class to enroll)

Creative Dance: Mon/Wed 6:30-7:15

ZUMBA

Pay by single class $6

HipHop ages 6-8yr, Mon/Wed 5:30-6:30pm

Class Card 5 for $30

HipHop ages 9-12yr, Tues/Thurs. 6:00-7:00pm

Class Card 10 for $60

Pop Star Camp Mon-Fri July 18th, 9:30-12pm

Solo/Duo/Trio

Competition Team Intensive

Now I'm Dancin (2yr old class

Payment included, you will be taken to a secure site after you hit submit.

Payment will follow in the mail, or paid in person. After you hit submit, you
will have completed the registration process.

I have read and agree to the terms and conditions stated below.

I hereby consent to participating in dance/yoga classes at Saucon Valley Dance Conservatory (SVDC). I do hereby agree to indemnify
and save harmless SVDC, it’s instructors, members and authorized guests, as well as its agents and employees, of and from any liability
of any nature or kind whatsoever arising out of or in any way connected with any claims or demands made by or on behalf of the
participant.
I have read and understand the terms of this consent and indemnification as set out above. By checking the 'agreement box' above, I
agree to the terms stated above.