Home | Hudson Valley Dance Theatre | Contact Us   Registration   Student Name: Age:     Date Of Birth: January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 29 30 31 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 Parents First Names:   Send Tuition Bill To (Name): Street:   City:   Email Address:     Phone Number(Home):   Phone Number(Office): Cell Number: State: Select State Alaska Alabama Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Long Island Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Other Pennsylvania Philadelphia Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming   Zip: Early registration is essential for well balanced classes. Please register as promptly as possible by filling out this form and return it via the submit button below or mail this form to: THE DANCE DESIGN SCHOOL 291 MAIN STREET SUITE #3 CORNWALL, NY 12518 Check Preferred Payment Plan Summer Program Year (33 classes) Tuition 10 Monthly Payments Please write the class # of the classes you / your child will be taking in the box provided below.   REGISTRATION POLICY: Registration is for a full 10 month program or 33 classes. Tuition is due by the 1st of each month. You will receive an invoice. Should you wish to alter or drop classes, a Change of Classes Form must be completed and returned to the office. You are responsible for payment until a Change of Classes Form is received by the DDS office. WAIVER OF LIABILITY: I agree that I will not hold The Dance Design School, or any employee/teacher liable for injuries sustained or illness contracted while a student is at the class location. I have read, and understand the Policy Statement, RAD Statement and the Waiver of Liability, and agree to comply with the terms of them. PHOTO RELEASE: I hereby grant permission to Dance Design School, Inc. to use my photograph on its Website or in other Dance Design School publication(s) without further consideration. I will make no monetary or other claim against Dance Design School, Inc. for the use of the photograph(s)/video. I also acknowledge Dance Design School, Inc. may choose not to use my photo at this time, but may do so at its own discretion at a later date.

	Beginner Through Professional	Dance Design School 291 Main St. Cornwall, NY 12518
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