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REGISTER FOR CLASSES ONLINE
Fill out form below & press submit
After submitting the registration form please send in registration fee or go to
the left and pay your fee through paypal. Another option for returning
students, Please check the box below on registration form if you would like
Jennifer Piispanen to deduct your registation fee from you credit or debit
card on file.
All registrations will only be held once I receive your registration fee. Thank
You.

BROADWAY DANCE ACADEMY


	Name: Age: Grade: Address: City: Zip: Home Phone: Cell #: Parent Name(s): Email Address: Class(es): Day: Time: Classes: Day: Time: PLEASE WRITE YES NEXT TO THE REGISTRATION FEE OPTION YOU WOULD LIKE TO USE. Pay registration Fee through PayPal on the left of this form: or Mail in the $15.00 registration fee: or Would like my registration fee deducted from my card on file: Liability Disclaimer: The Broadway Dance Academy and its instructors are not liable for personal injuries or loss or damage to personal property. Since this is physical activity, injuries may occur. Each student may decline to participate in any activity which may be harmful and is also responsible to inform the instructor of any physical limitaion which may prevent full partipication in class.


				I agree to The Broadway Dance Academy Liability Disclaimer

2011 - 2012 REGISTRATION FORM
$15.00 REGISTRATION FEE PER STUDENT

Pay Your Registration Fee
Here: $15.00 per student

TUITION
PAYMENTS ONLINE

Now You Can Pay Your Monthly
Tuition Bill Right Here On Line