• Please CUT, PASTE & SEND the information below to: Email: dance@prfdance.org
• To complete registration, send $10 through paypal. (Funds will be applied to 1st month of tuition).
• Send funds through paypal to: payments@prfdance.org
  Or use this handy link: http://paypal.me/PuertoRicanCulturalC

DATE:

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STUDENT NAME:

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PARENTS NAME (for minors)

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ADDRESS:

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CITY, STATE, ZIP:

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PHONE:

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EMAIL ADDRESS:

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FACEBOOK NAME (Class announcements use Messenger):

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PROGRAM(S) REGISTERING FOR:

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RULES, RELEASE & SIGN BELOW:

_____ Yes! I understand I am registering for a semester-long program. I can enjoy a significant discount by paying semester tuition/dues in full, or pay the semester in monthly installments.

_____ Yes! I will make my best effort to contact my teacher in advance if I will miss class so that she/he can plan ahead.

_____ Yes! I will do my best to arrive to class on time. I will do my best to contact my teacher if I am running late.

_____ Yes! I want to be famous forever! I give permission to use our class photos for promotions and on social media to promote our school & programs.

____ Yes! I will respect creative property. I understand the artistic material that I learn are copyright, creative property of the Puerto Rican Cultural Center. I will not publicly perform or teach PRFDance material to those not enrolled unless I have prior approval by the Director. I will not distribute music, videos or materials obtained from PRFDance (or allowed to capture) for my educational use.

SIGNATURE: