REGISTER FALL SESSION 2019

Welcome Parents of BGC, please fill out the registration for and payments for the program are at a special rate of 50% off the regular fee. Thank you for signing your child up with ALATS Dance.

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ALATS Dance Fall Session Registration Form

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Primary Adults Name *

Address: *

E-mail address: *

Telephone/fax: *

I would like to volunteer

Pay in Full

Weekly Payments

Child's Name/Age/Gender *

Sibling Joining ALATS Name/Age/Gender *

Child's Email and Cell

Birth Date of Child/Sibling *

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This registration is my signed acceptance and acknowledgment that all information submitted by me on this form is true and correct. I/We hereby give permission for the above-named students to attend classes at ALATS Dance. I/we understand that we are responsible to uphold the policies of ALATS Dance. I/We hereby release ALATS Dance, its agents, employees, and volunteer assistants from any liability whatsoever arising out of any injury, damage, or loss which may be sustained by the above-named student while participating in classes and activities offered by ALATS Dance. I agree that ALATS Dance is not responsible or liable for personal items, property or clothing brought on the premises by students or their families. I hereby grant ALATS Dance permission to interview me or my children and/or to use my likeness in photographs(s)/video in any and all of its publications and in any and all other media, whether now known or hereafter.

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BGC Fall Session Rate

Special Discount Rate to any member from the Boys and Girls Club of Waukegan. Please also see the Child + Sibling rate. This rate can be paid weekly. Please contact the office of ALATS with any other questions. 847-662-1380 and speak with Lura Myers.

Fall Registration

Be A Part of the Movement

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Dance Mission began in 2015 through the heart and vision of Pastor Cory Ratliff when he first worked with the Pure Love Kids in Uganda. After this he was inspired to bring together a collective of professional dance teachers who are also strong believers with a desire to serve international communities. This collective of dancers and ministers have now done several Missions in Uganda East Africa and New Mexico and has plans to branch out to impact more of the world by equipping, discipling, and evangelizing youth as well as adults.

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