REGISTER

MOHAWK VALLEY DANCE THEATRE

2020-2021 Season Student Online Registration Form

Please complete one form for each individual student. Payment will be due at your first class, either in cash or through our online portal. Links to online payment will be made available shortly before classes begin. Tuition agreement is for monthly payments only at this time. A waiver will be sent to you through e-mail and must be printed and signed to bring with you for the first day of classes. Before registration, please make sure you have read and understand the studio policies, updated uniform, and COVID-19 related regulations.

* Indicates required field

STUDENT INFORMATION

Name *

First

Last

D.O.B. *

Email *

Phone Number *

Do you wish to receive text alerts in the case of closings/inclement weather? *

Yes No

Address *

Line 1

Line 2

City

State

Zip Code

Country

Is the student currently registered and active at MVDT? *

Yes No

MVDT or CAPA Alumni? *

Check here if you are an alumni.

Due to the restricted class sizes based on NYS regulations, we cannot offer the alumni discount for the 2020-2021 season.

PARENT/GUARDIAN OR EMERGENCY CONTACT INFORMATION

parent/guardian #1 name *

First

Last

Email for #1 *

Phone Number #1 *

parent/guardian #2 name *

First

Last

Email for #2 *

Phone Number #2 *

Who else has permission to pick up the child? *

please check if student is 12 or older and is permitted leave the premises alone *

Yes No

Please note, due to COVID-19 restrictions, we are a drop-off only facility. Any students under age 12 must be picked up and dropped off at the door by a parent or guardian at this time.

CLASS INFORMATION

I agree to receiving marketing and promotional materials

Submit

MOHAWK VALLEY DANCE THEATRE

2020-2021 Season Student Online Registration Form

Mohawk Valley Dance Theatre