First Child Name: Birthday:
Second Child name (if applicable): Birthday:
Parent(s) Name:
Name of Adult Attending Class:
Address: City:
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Phone Number:
Email:
First Class Choice: Choose Location and Time Below -- Classes at Hoboken Dance Academy -- -- Classes at Visionary Art & Music Studio -- Tues - 11:30am Visionary Art & Music Studio with Adam Wed - 9:30am Visionary Art & Music Studio with Michael Wed - 10:30am Visionary Art & Music Studio with Michael Wed - 11:30am Visionary Art & Music Studio with Michael -- Classes at Progressive Dance Studio -- Tues - 4:30pm - Progressive Dance Studio with Adam -- Classes at Lua -- Thurs - 9:30am Lua with Adam Thurs - 10:30am Lua with Adam Thurs - 11:30am Lua with Adam Fri - 9:30am Lua with Adam Fri - 11:30am Lua with Adam Tues - 9:30am Lua with Michael Tues - 10:30am Lua with Michael Tues - 11:30am Lua with Michael
Second Class Choice: Choose Location and Time Below -- Classes at Hoboken Dance Academy -- -- Classes at Visionary Art & Music Studio -- Tues - 11:30am Visionary Art & Music Studio with Adam Wed - 9:30am Visionary Art & Music Studio with Michael Wed - 10:30am Visionary Art & Music Studio with Michael Wed - 11:30am Visionary Art & Music Studio with Michael -- Classes at Progressive Dance Studio -- Tues - 4:30pm - Progressive Dance Studio with Adam -- Classes at Lua -- Thurs - 9:30am Lua with Adam Thurs - 10:30am Lua with Adam Thurs - 11:30am Lua with Adam Fri - 9:30am Lua with Adam Fri - 11:30am Lua with Adam Tues - 9:30am Lua with Michael Tues - 10:30am Lua with Michael Tues - 11:30am Lua with Michael
Note:
First Child = $140 Second Child = $70 (50% discount) ***Tuition includes a Music for Aardvarks CD***
Payment is calculated when you register.
Please make checks payable and mail to:
Adrob Music, LLC 333 E. 102nd St. Apt. 107 New York, NY 10029
***** SPOTS ARE HELD UPON PAYMENT RECEIVED *****
All payments must be received on or before the first day of class. If you are going to miss your first class, please be sure that your payment has been sent to reserve your spot.
Tuition fee is fully refundable before the first day the semester begins. Up until two weeks after the semester has begun 50% of tuition fees will be refunded for remaining unattended classes at time of cancellation. No refunds after two weeks.
PARENT OR GUARDIAN, PLEASE READ THE FOLLOWING:
I agree to assume responsibility for my child or children and myself and/or caregiver when upon the premises operated by Hoboken Dance Academy, Music for Aardvarks and Adam Roberts, and will hold harmless Hoboken Dance Academy, Lua, Progressive Dance Studio, Visionary Art & Music Studio, Music for Aardvarks and Adam Roberts and any of its employees and/or agents in the event of any personal injury, property damage or loss, indemnifying said parties of any loss that I might incur as a result.
By clicking Register below I am signing that I have read and agree to the terms above.