After School Registration

Step 1 of 3

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Child Information
Name
FirstLast
Birthday
Age
Email
Parent Information
Name
FirstLast
Address
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Email
Home Phone
Cell Phone
Emergency Information
Name
FirstLast
Relationship
Home Phone
Cell Phone

2021-22 After School Program
$35 Registration Fee is applicable for all new students. $25 Registration Fee is applicable for all returning PDS students.
Days Per Week
- ALL WEEK
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Child's School
Name of school that we will be picking your child up from

Liability Release and Parental Consent
* I understand that there are risks and dangers associated in dance and release Platinum Dance Studio from all liability
* Payment is due by the 2nd Saturday of each month, a $15 late fee will be applied.
* A $25 fee will be charged for returned checks.
* Tuition is not pro-rated, refunded or credited for missed classes or holidays.
Parent Signature*
Fill out your full name
Date*

Posted by cactus_Admin Comments Off on After School Registration

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