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 *

Captcha (spam protection code) *

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

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