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Soham Dance Space Student Registration Form
New Session
Form Guidelines:
Please specify the class in which you are enrolling.
Students below the age of 18 are required to submit parent/guardian contact information.
Please specify date values in the format MM/DD/YYYY (e.g., 09/12/1984).
Please specify phone number values in the format ###-##-#### (e.g., 773-555-1234).
Class
Bharatanatyam for Children
Bharatanatyam for Int/Adv Adults
Bharatanatyam for Beg/Int Adults
Private Lessons
Yoga Meditation
Bhangra
First Name
Last Name
Date of Birth
Address
City
State
Zip Code
E-mail Address
Phone Number
Mother's Name
Mother's Cell Number
Mother's E-mail Address
Father's Name
Father's Cell Number
Father's E-mail Address
Describe Student's Dance Experience
Questions/Comments
By submitting this form, you acknowledge your awareness of the following policies:
Tuition in full is due on or prior to the first class of the session and is non-refundable thereafter. Late fee of $10 is applied if tuition is not received on time.
All classes are one hour long.
Please arrive early so you are ready to begin on time.
Appropriate attire is comfortable clothing that does not restrict movement. Tunic or kurta top with dupatta tied around the waist is recommended.
Students are encouraged to bring a bottle of water.
Please inform instructor of expected absences 24 hours in advance of class.
Soham Dance Space is not liable for any student injuries that may occur during class or on premises.