Music Together Demo Class Registration ⋆ American Dance Institute

Music Together Demonstration Class Registration

Music Together classes at American Dance Institute Shoreline

Student's Name*
First Last
Choose your class.*
CHOOSE ONE
Age*
Date of Birth*
Date Format: MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Parent #1 Name
First Last
Parent #2 Name
First Last
Primary Email*
Enter Email Confirm Email

Note: This is for all school business correspondence and announcements. We will add your email address to our school newsletter. We will not share your email with anyone. You can opt out of the school newsletter at any time.
Primary Phone*
Is this a mobile phone?*
CHOOSE ONE
Do we have permission to message you on school related matters?*
Please tell us your mobile phone carrier?
CHOOSE ONE
What is your communication preference?*
Which is the fastest and most reliable way to message you with school communications?
Secondary Phone
Emergency Contact Name*
Emergency Contact Phone*
Please list all of the reasons why you chose our school?*
How did you learn about Music Together @ American Dance Institute?*
Where have you seen/heard us?
Please explain what 'other' means in how you first learned about us?*
What was your experience using our website?*
CHOOSE ONE
Please describe what you mean that the site was too cluttered?
How might we improve navigation?
We need a little more info to improve navigtion. Would you be kind enought to assist us?
What kind of device were you using When viewing the site?
CHOOSE ONE
Terms of Use*
- Yes, I agree to ADI's terms of use
- No, I do not agree to ADI's terms of use.
1. I agree to participate/let my child participate in Music Together classes at American Dance Institute’s and hereby release American Dance Institute, it’s owners, officers, instructors and employees from liability for any injury I/my child may suffer as a result of my/their participation in classes and community events that we participate in. 2. Class size is limited. Tuition (partial or full) must be paid in advance to reserve a spot in any class. If you choose our payment plan, you are liable for the full tuition once we reserve a space for you in class. Because we limit class size, we cannot credit you for missed classes. Make up classes are permitted within the same session. Check with instructor for appropriate make up classes. If a student has to withdraw due to medical reasons, credit towards another session will be given with a valid doctor’s note. You will be charged for all classes until ADI is notified of medical circumstances. 3. I hereby authorize American Dance Institute to publish photographs taken of me, and or my child for use in the ADI’s printed publications, promotions and website. 4. I acknowledge that since my participation in publications and websites produced by ADI is voluntary, I will receive no financial compensation. 5. I further agree that my participation in any publication and website produced by ADI confers upon me no rights of ownership whatsoever. I release ADI, its contractors and its employees from liability for any claims by me or any third party in connection with my participation. 6. I agree to write and post a review about our experience and to share that review on Google, Facebook, Yelp or other social media I use.
Your comments, questions, or special instructions.

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