Registration
Living Arts Dance Foundation, is providing scholarships for youth ages: 10 - 17 to participate in our formal dance program running February - June 2024. This is discounted grant program is for low income Philadelphia youngsters ages: 10 & up based on family income, dancers will be awarded scholarships or discount tuition at a rate of $45 per month. Classes will be held at Living Arts Dance, Inc. 624 N. Front Street, Philadelphia, PA 19123 on Thursday's from 4:45 pm - 8 Pm in the following: Ballet- Jazz, Acrobatics, Hip-hop & African.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
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Family Information
First Name:* Last Name: *
Type
Home Phone: Cell #: Work #:
Email: (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info (Not Contact #1 or #2)*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
New or returning students only, must not be attending any current Living Arts Dance programs or classes. This scholarship can not be combined with any other programs or grants at Living Arts.*
REQUIREMENT TO ATTEND: I understand I must email a copy of my states benefits to info@livingartsdance.com provide my proof of income before my child can participate in this program.*
REQUIREMENT TO ATTEND: I am a low income family. I can provide my PA state benefits statement as proof of low income.*
REQUIREMENT TO ATTEND: I am a Philadelphia resident.*
REQUIREMENT TO ATTEND: My child has turn 10 years old by August 1, 2023.*
Student Name:*
Student Date of Birth:*
Student Age:*
Student Clothing & Shoe Size: *
 
Additional Information:
 
Tuition
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Proof of Income
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Alternating Locations
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Thursday Dance Classes
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Absences
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Uniform
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Liability Waiver
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Behavior
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Studio Policies
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Teacher Etiquette & Discipline
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Communication
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Photo Release
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Youth Etiquette
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Hair
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Nut Free Studios
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Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number:  
Name as it appears on card:
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