Clone of Class Enrollment Form

PLEASE BE ADVISED: THESE CLASSES ARE FOR DANCERS 10 AND UP, LEVELS INTERMEDIATE-ADVANCED
Dancer's Name
Type N/A if older than 18
Email Address
Address (City, State and Zip)
Phone Number
Cell Phone
Age
Is dancer under 18?
Would you also like to audition for our company?
How did you find out about our program?

Guest Instructors

Non refundable/ Non transferable.

$20.00 Class 1

Skills and Drills w/ Ibn

Non refundable/ Non transferable.

$15.00

Strength and Conditioning w/ Shavonne Munir

Non refundable/ Non transferable

$20.00

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Would you like your future monthly payments broken into 2 installments for an additional 7% installment fee?
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that the activities held at The X-Perience Dance Company are physical in conduct and could potentially result injury. I am aware of the potential risk associated with dance. However, XDC will not be held accountable in the event of a dance/ acrobatic or any physical activity related injury. Upon enrollment, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
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