Registration Form-Hamsaasya Dance

Students First Name

Student's Last name

Student's Date of Birth

Parent's First and Last name

Phone Number

Any past dance training

YES

Please list past experience in dance (include styles of dance and number Of months/years)

Any health or physical restrictions?

Course(s) for registation

CLASSICAL BHARATANATYAM

FOLK DANCE and BOLLYWOOD

BOTH

Class Location

Hicksville

New Hyde Park

Syosset

How did you hear about us? *

Class Policies

DRESS CODE

Hair pulled back away from face. Girls wear tights and a top/long t-shirt/ kurti. No dresses .Boys wear comfortable jogger pant/ shorts, shirt or sweats

CANCELLATIONS In the event of bad weather, studio cancellations will be announced. There may be other unavoidable cancellations during the year (due to teacher illness, etc.); you will be notified.

TIMINGS

It is important for the student to be punctual to the class. In case of emergency, The parent/ guardian holds responsibility of picking up the child from the class on time.

SAFETY

The teacher/school is not responsible for any medical emergencies, not liable for any hazard.

I agree to the terms & conditions

For Advertising purposes, photographs and/or videos of our students may be used for website, flyers and other promotional materials. I give my consent for Hamsaasya school of Dance to use my photos or videos for promotion and advertising

I agree to the terms & conditions