Registration
2 openings left in this event!
Already a customer? Click here to login.
NOLA Dance Project, The Studio Studio School of Dance and the youth program at Triumph Krav Maga are joining forces to provide a self- defense class during the Thanksgiving Break!The youth program at Triumph Krav Maga is a direct reflection of our dedication to equip the men and women of New Orleans with the knowledge and confidence they need to be healthy and safe! AGES 4-7 Join us for a class of high energy drills, team building and self-defense tactics for ages 4-6! During this session we will build confidence as we introduce the basics of Krav Maga training through stance, movement and striking drills. AGES 8 & Up. Learn practical self-defense methods through hands on training and discuss important elements of recognizing danger, using your voice and responding to common threats.
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
*
Type
*
Caregiver
Father
Guardian
Mother
Parent
Self
Home Phone:
Cell #:
Work #:
Email:
*
(Emails are kept confidential)
Address:
*
City:
*
State:
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NC
ND
NH
NJ
NM
NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
*
Students entered below will be added to your family's account
Add New Student #1:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
School:
*
Grade Level:
*
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications:
*
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
School:
*
Grade Level:
*
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications:
*
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
School:
*
Grade Level:
*
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications:
*
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
School:
*
Grade Level:
*
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications:
*
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
School:
*
Grade Level:
*
preschool
kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
college
college-freshman
college-sophomore
college-junior
college-senior
Unknown value
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications:
*
Additional Information:
WAIVER OF LIABILITY, ASSUMPTION OF FULL RESPONSIBILITY
(Show-Hide Details)
I, THE UNDERSIGNED, AGREE THAT THE ABOVE INFORMATION IS CORRECT. I RECOGNIZE AND UNDERSTAND THE RISKS OF PHYSICAL INJURY INHERENT IN DANCE TRAINING AND I AM WILLING TO ASSUME THOSE RISKS. I WILL NOT HOLD THE STUDIO SCHOOL OF DANCE AKA PEACOCK COLLECTIONS, LLC. OR ANY FACULTY MEMBER, EMPLOYEE, GUEST INSTRUCTOR, OR VOLUNTEER LIABLE FOR INJURIES SUSTAINED OR ILLNESSES CONTRACTED BY THE PARTICIPANT WHILE IN ATTENDANCE AND/OR PARTICIPATING IN CLASSES IN THE ABOVE-MENTIONED SCHOOL. I UNDERSTAND THAT THE STUDENT MAY BE PHYSICALLY TOUCHED DURING DANCE TRAINING AND/OR DANCE INSTRUCTION. I WILL NOT HOLD THE STUDIO SCHOOL OF DANCE AND ITS FACULTY MEMBERS LIABLE FOR PHYSICAL TOUCHING WHICH IS INCIDENTAL TO AND IN THE COURSE OF DANCE INSTRUCTION AND TRAINING. I AGREE TO INDEMNIFY THE STUDIO SCHOOL OF DANCE AND ITS FACULTY MEMBERS AND VOLUNTEERS OF BOTH FOR ALL LIABILITIES, COSTS, AND JUDGMENTS ARISING FROM ACTS OF OMISSION COMMITTED BY ME OR MY CHILD WHICH MAY RESULT IN INJURY OR DAMAGE TO ANY PERSON OR PARTY.
I've read the above and agree.
PHOTO/ VIDEO RELEASE
(Show-Hide Details)
I GIVE PERMISSION FOR THE STUDIO SCHOOL OF DANCE TO TAKE PHOTOS AND/OR VIDEOS OF ME OR MY CHILD WHILE PARTICIPATING IN THE STUDIO SCHOOL OF DANCE ACTIVITIES FOR PROMOTIONAL PURPOSES, INCLUDING, BUT NOT LIMITED TO POSTING ON FACEBOOK, TWITTER, PINTEREST, INSTAGRAM, YOUTUBE, SNAPCHAT, THE STUDIO WEBSITE AS WELL AS PRINTED PROMOTIONAL MATERIAL. NAMES OF STUDENTS WILL NOT BE USED OR DISCLOSED UNLESS WRITTEN CONSENT FROM PARENTS HAS BEEN RECEIVED.
I UNDERSTAND THAT FOR THE SAFETY OF OUR DANCERS AND THEIR FAMILIES, ALL PHOTOS AND/OR VIDEOS OF THE STUDIO SCHOOL OF DANCE CLASSES, REHEARSALS AND/OR PERFORMANCES, INCLUDING DANCERS IN THE STUDIO SCHOOL OF DANCE COSTUMES, WILL NOT BE PUBLISHED OR POSTED PUBLICLY, IN PRINTED OR ELECTRONIC FORMAT, WITHOUT THE EXPRESS WRITTEN PERMISSION OF THE STUDIO SCHOOL OF DANCE AND THE DIRECTOR.
I've read the above and agree.
COMMUNICATION
(Show-Hide Details)
ALL COMMUNICATIONS FROM THE STUDIO SCHOOL OF DANCE IS CONDUCTED VIA EMAIL. IT IS A RESPONSIBILITY OF THE PARENT OR GUARDIAN TO CHECK EMAIL, ENSURE THE OFFICE HAS A PROPER EMAIL ADDRESS FOR THE PERSON MANAGING THE DETAILS OF THE CHILD. THE STUDIO SCHOOL OF DANCE WILL ALSO POST IMPORTANT INFORMATION TO THEIR MEMBER ONLY FACEBOOK PAGE. PLEASE MAKE SURE YOU ADD YOUR FACEBOOK ACCOUNT TO OUR PAGE.
I've read the above and agree.
PAYMENT TERMS
(Show-Hide Details)
CLASS FEE MUST BE PAID IN ADVANCE. CLASS FEES ARE NON-REFUNDABLE OR TRANSFERABLE .
I've read the above and agree.
Enter your Full Name:
*
Other Questions/Comments:
Credit Card Verification:
Card Number:
*
Visa
Mastercard
Discover
Name as it appears on card:
*
Nickname:
Card Expiration Month:
*
01
02
03
04
05
06
07
08
09
10
11
12
Exp Year:
*
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
2051
2052
2053
Address Line 1:
Address Line 2:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
PR
VI
Zip:
*
Please Wait...