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Danz Centre-School of Performing Arts

Mail to:No.4, 2nd fl,Yosemite Childer's Club House,Shunyi,Beijing,PR.China
info@danzcentre.com

2007-2008 Dance Program Registration Form

Registration date:

STUDENT INFORMATION

Last Name

First Name

Middle

Date of birth

Student

Sex

Male Female

Parent/Guardian
(If under 18)

	Nationality


Address:
E-Mail:
Phone:
MobileŁş
Emergency contact:

CLASS INFORMATION
Class Title	Day	Time






Please according to class schedule to fill in this form

I Parent / Guardian of do hold harmless from liability DanZ Centre-Company of Performing Arts Mr Kim Teinchai, Artistic Director along with all owners, instructors and their heirs in the event of personal injury or loss while participating in dance classes or related studio activities, such as rehearsals, performances or traveling with DanZ Centre, I understand that I am participating solely at my own risk and that I am in sound health . I have read and agree with the DanZ Centre policies regarding safety, tuition, late payment fees, attire, class assistance and privacy policies.

Parent/Guardian Signature Date

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