Augusta West Online Class Registration

2012-2013 Now pay with PayPal!



State: Zip:

E-mail:

Date Registered:

 


1st Student Information

Student's Name:

State: Zip:

School:

Grade: Birthday: Age:

Mother: Work Phone:

Father: Work Phone:

Emergency Contact Other Than parent:

Emergency Contact Phone:

 


Please select the classes you wish to register Student 1 for. Online Registration is available only for classes listed.

Augusta Studios
262 Fury's Ferry Road
Augusta, GA 30907
706-860-0998/Fax 706-860-0976
augustawest@ymail.com

MONDAY

Studio 1

Studio 2

TUESDAY

Studio 2

Studio 3

 

WEDNESDAY

Studio 3

 

THURSDAY

Studio 1

Studio 2

Studio 3

 

SATURDAY

Studio 1

Studio 2

Studio 3

 

***NORTH AUGUSTA STUDIOS***

MONDAY - NORTH AUGUSTA

TUESDAY - NORTH AUGUSTA


 


2nd Student Information

Student's Name:

State: Zip:

School:

Grade: Birthday: Age:

Mother: Work Phone:

Father: Work Phone:

Emergency Contact Other Than parent:

Emergency Contact Phone:

 


Please select the classes you wish to register Student 2 for. Online Registration is available only for classes listed.

Augusta Studios
262 Fury's Ferry Road
Augusta, GA 30907
706-860-0998/Fax 706-860-0976
augustawest@ymail.com

MONDAY

Studio 1

Studio 2

TUESDAY

Studio 2

Studio 3

 

WEDNESDAY

Studio 3

 

THURSDAY

Studio 1

Studio 2

Studio 3

 

SATURDAY

Studio 1

Studio 2

Studio 3

 

***NORTH AUGUSTA STUDIOS***

MONDAY - NORTH AUGUSTA

TUESDAY - NORTH AUGUSTA

 

 


3rd Student Information

3rd Student's Name:

State: Zip:

School:

Grade: Birthday: Age:

Mother: Work Phone:

Father: Work Phone:

Emergency Contact Other Than parent:

Emergency Contact Phone:

 


Please select the classes you wish to register Student 1 for. Online Registration is available only for classes listed.

Augusta Studios
262 Fury's Ferry Road
Augusta, GA 30907
706-860-0998/Fax 706-860-0976
augustawest@ymail.com

MONDAY

Studio 1

Studio 2

TUESDAY

Studio 2

Studio 3

 

WEDNESDAY

Studio 3

 

THURSDAY

Studio 1

Studio 2

Studio 3

 

SATURDAY

Studio 1

Studio 2

Studio 3

 

***NORTH AUGUSTA STUDIOS***

MONDAY - NORTH AUGUSTA

TUESDAY - NORTH AUGUSTA

Any one participating in a dance activity takes certain incumbent risks. These include but are not limited to sprains, pulled muscles and broken bones. Participation Augusta West Dance Studio indicates the acceptance of such risk by dancers and parents of dancers. Therefore, we the undersigned will not hold Augusta West Dance Studio, any of their Directors, or Staff liable or responsible for injuries or damages sustained while participating in any activity related to the Augusta West Dance Studio.

 
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