Community Day Registration Form

Join us for a Community Day at National Dance Institute with partner programs Harlem Junior Tennis Education Program and Double Dutch Dreamz!

Complete the form below to sign up for these FREE activities. Community Day takes place 12:30pm-4:30pm on Saturday, September 21st at the Jacques d'Amboise Center for Learning & the Arts (217 W 147th Street). Dance, Tennis, and Double Dutch activities best for ages 6-17. Additional arts & crafts and movement activities will be provided for children under the age of 6. Spots are limited, sign-up today!
Please note: A parent or guardian must be present at all times.

Participant's Name*

First NameLast Name

Participant's Age*

Pronouns:

Parent/Guardian Name and Contact Information*

First NameLast Name

E-mail

example@example.com

Phone Number*

My child is interested in (Select all that apply)*

DanceTennisDouble Dutch Jump RopeArts & Crafts and Movement for Early Learners

Sign-in begins at 12:30pm followed by a group welcome at 1:00pm. Activity sessions are 45 minutes and begin at 1:15pm. Dance, Tennis, and Double Dutch instruction will be available during all sessions. Sign up for all three to get a full day's rotation of activities!

My child is available for the following sessions (Select all that apply.)*

Session 1 1:15pmSession 2 2:15pmSession 3 3:15pm

Do you or your child have any accessibility needs? Please let us know below!

LIABILITY WAIVER: I understand that my child will be under the supervision of NDI staff and appointees, but that despite the responsible supervision that NDI will make in this connection, NDI is not an insurer of my child's health or safety. NDI cannot guarantee against the possibility of accident or illness involving my child. I understand that by participating in NDI programs, my child may be at risk of injury as a result of physical activity and accept all risks associated with participation. I affirm that I have the authority to sign this consent as a parent or legal guardian of the child first mentioned above, have read the entire form, fully understand it, and agree to be legally bound by its terms.

We'd like to celebrate this event on social media!

PHOTO RELEASE: I authorize the making and use (in all media now known or hereinafter created) by NDI and its contractors and sublicensees of any photographs, images, videos, films, and audio or other recordings (“Images”) of me/my child in connection with the NDI programsfor any purpose in furtherance of NDI’s mission, fundraising or promotional activities without compensation to my child or me. I acknowledge and agree that Images of me/my child may be placed on the Internet. I understand and agree that I/my child may be identified by name in connection with such Images. I waive the right to approve the final product or any use of the Images.

Click here to acknowledge and accept the photo release above:

I Accept

Sign below to acknowledge and accept:*

How did you hear about the workshop?

Web Site/Social MediaFlyerWord of Mouth

I am already affiliated with

National Dance InstituteHarlem Junior Tennis Education ProgramDouble Dutch Dreamz

Dance, Jump & Swing into Fall!