Menu
Home
About
About
Our Director
News
Contact
Private Lessons
Group Lessons
Gallery
Photo Gallery
Video Gallery
Other Offerings
Summer Camp
Workshops
Flex Pass
Live Video Recording
Events
Register
Register
Dance Lesson Registration
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Student's Name
*
First
Last
Student's Age
*
Student's Birthdate
*
2nd Student's Name (if applicable)
First
Last
2nd Student's Age (if applicable)
2nd Student's Birthdate (if applicable)
Parent's/Guardian's Name (for child student only, please write N/A for adult students)
*
First
Last
Contact Email
*
make-up first will
Phone
*
Full Address
*
What do you want to learn? (Please choose only one)
*
Group Bharatanatyam Dance
Group Kathak Dance
Group Bollywood Dance
Group Nepalese Dance
Preferred Days for Lessons
*
Sunday
Tuesday
Saturday
Preferred Times for Lessons
*
Morning 9:00 AM - 11:00 AM
Evening 5:00 PM - 8:00 PM
Comments
Lesson Cancellation Policy: There is no make-up class for group lesson students.
*
Yes, I agree with the lesson cancellation policy.
Lesson Withdrawal Policy: Students are required to provide one month of advance notice if they wish to withdraw from their lessons. This allows us time to “finish well” with you if you do leave us!
*
Yes, I agree with the lesson withdrawal policy.
Auto Withdrawal Policy: Students are required to setup an auto payment system on the first day of their lessons. A monthly lesson fee will be automatically withdrawn from students’ credit/debit/master card on a recurring basis the first day of each month.
*
Yes, I agree with the auto withdrawal policy.
Anti-Harassment Policy: We are committed to fostering a harassment-free place where all students, parents, volunteers, contractors, visitors, and instructors are treated with respect and dignity. Harassment, including physical or verbal offence, threatening or intimidation, insult, and making unwelcome conduct at the ASIMPA is absolutely not tolerated.
*
Yes, I agree with the anti-harassment policy.
Media Release and Consent Form: Alberta School of Indian Music and Performing Arts may take photographs, videos, or audio recordings of students. These images, videos, or audio recordings may be used for school’s promotional or educational purposes.
*
Yes, I hereby grant permission for me/my child to appear in the video or audio recordings, films, photographs, written articles, or on websites and social media sites for research or educational or Studio's promotional purposes.
No Refund Policy: Registration fee is nonrefundable.
*
Yes, I understand that the registration fee is nonrefundable.
Total Amount
Student 1 -
$36.75
Student 2 -
$36.75
Stripe Credit Card
*
Submit