Registration
Anyone else can have access to a class for just $5 per class. During registration, indicate which class(es) you want to take in the "Additional Info." section.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Relation*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info*
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
I acknowledge and agree to the following: I hereby affirm and acknowledge that I am giving full permission for the above named person(s) to participate in a virtual learning dance program offered by Cornerstone Studio. By signing this agreement, I acknowledge that I am taking on all risks associated with the participation in an activity taking place outside of the brick and mortar establishment of Cornerstone Studio. I understand that it is my responsibility to provide a safe, conducive, and (reasonably) open environment for each class that the above named person(s) will participate in virtually. In consideration of myself or the above named person(s) participation in the virtual dance program, I, for myself, my heirs and assigns, hereby release Cornerstone Studio, the owner/director Lea Aparis, her family, and/or employees from any and all future rights, claims, causes of action, civil or criminal claims, demands, costs, attorney fees, loss of service, expenses, compensation, third party actions, suits of law or equity (including suits for contribution and indemnity), of whatever nature, and all consequential damages on account of, or in any way associated with Cornerstone Studio. I also understand that by agreeing to these terms, there will be no refunds, pro-rations, or credits given for any reason.

By agreeing to these terms, I hereby affirm that I have read and fully understand the foregoing release and know the contacts thereof, and I acknowledge that agreement by either parent or by one guardian hereby binds all parents and/or guardians of any minor participant.

I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*