CMA Spring Session 2012 - Registration Form
  

One Student per form. Please PRINT legibly.

Name: _________________________________

Age: ____   Birth Date: ___________________

Male     Female

Parents' Names: ________________________ 

Address: _______________________________

City:__________________ St:___ Zip:_______

Home/Emergency Phone: _________________

Email: _________________________________


Have you Pre-registered?: *

Choose Class Location:
Littleton Ft. Collins
Aurora   Castle Rock

Worship Dance: Level: _________ Time:__________  
Ballet: Level: _________ Time:__________  

Are you able to participate in the Performance?
   Yes No 

I have enclosed the following amount: 
                 Check #  __________         $ ____________
 
Celebration Ministry of Arts
Dance Class Rules
  • Arrive on time, enter the designated entrance, and remain in the assigned area. Do not go to other parts of the church facility.
  • Please do not make or receive personal phone calls from the church phones.
  • Please do not move furniture and please clean up after yourself and your family.
  • Do not bring orange, red or grape sodas or cheesy snacks. Please eat only indesignated areas.
  • Do not run in the building. 
  • Children must be supervised at all times.
  • Drinks and bathroom breaks are by teacher permission only.
  • Listen to your instructor. No talking while the teacher is talking.
  • No chewing gum or food during class.
  • Follow CMA’s designated dress code.
  • Do not speak negatively about anyone and show respect for all teachers, students, and parents.
  • Do everything with all your heart as unto the Lord!
  Student’s Name: _______________________

Age: ________ Date: ___________________

I understand and acknowledge the rules of CMA and agree to follow them. I also understand and acknowledge that if I break these rules I will receive one warning and my parents will be notified. I recognize that further infractions will jeopardize my continued participation in CMA activities. I understand and acknowledge that dance is an intense physical activity that entails the possibility of personal physical injury. By signing this agreement, I agree to hold harmless South Fellowship, Summitview Community Church, New Life Evangelical Free Church, The Rock, and Celebration Ministry of Arts Inc. of any legal liability for any injury or accident directly resulting from participation in CMA activities.

__________________________________________________
PARENT SIGNATURE (if under 18)

__________________________________________________
STUDENT SIGNATURE

 
Print this page, fill out the form completely and mail with payment to:
CMA
P.O. Box 621367
Littleton, CO  80162-1367








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