2024 REGISTRATION FORM

2024-2025 REGISTRATION

If you want your children to be involved in Armenian activities, learn about Armenian culture and build lasting friendships, then Abaka Dance Academy is the place for them! Through the art of dance they will be exposed to Armenian music, language and all things Armenian!

REGISTRATION FORM INSTRUCTIONS:

If registering more than one child, you will need to submit multiple registration forms.

Once registration is complete, please click the "SUBMIT REGISTRATION" button and you will be directed to the payment page.

Email us at [email protected] with any questions!

***IMPORTANT *** You should receive an email from us within 24 hours of submitting your registration form to confirm that it went through. If you do NOT receive an email confirmation within 24 hours of submitting your registration it means we did NOT receive it. If you do not get our confirmation email within 24 hours of submitting this form, please contact us at [email protected].

REGISTRATION FORM 2024-2025

STUDENT INFORMATION

* Indicates required field

Student Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Date of Birth *

Current Age *

Name of school and grade level for 2024-2025 year *

Medical Conditions/Allergies? *

ABAKA Class that your student will attend: *

PARENT INFORMATION

Parent Name (First, Last) *

Parent Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Emergency Contact Name and Relation *

Emergency Contact Phone *

Secondary Emergency Contact Name and Relation *

2nd Emergency Contact Phone *

LIABILITY WAIVER: As parents or legal guardian of this child(ren), I hereby consent to aforementioned participating dance and related activated with ABAKA. I recognize that potentially injuries can occur at any activity involving motion, including dance and related activities. I understand it is the express intent of ABAKA to provide for the safety and protection of my child(ren) and in consideration for allowing my child(ren) to use these facilities, I hereby forever release ABAKA, its officers, employees, and teachers for all liability for any and all damages suffered by my child(ren) while under the instruction, supervision or control of ABAKA or its employees. As parent or legal guardian of the aforementioned person, I hereby agree to individually provide for the possible future medical expenses, which may be incurred by my child(ren) as result of any injury, sustained while participating in dance class or related activities at ABAKA. This acknowledgment of risk and waiver of liability, having been read through thoroughly and understood completely, is signed voluntarily as to its content and intent.

Do you accept? *

I accept

Signature (Full Name) *

Date *

I, as the parent or legal guardian of this child(ren), grant ABAKA DANCE ACADEMY my permission to use photographs or videos of my child(ren) for any legal use, including but not limited to: PR, copyright purposes, advertising, and web content.

Do you agree? *

I agree I disagree

Signature (Full Name) *

Date: *

SUBMIT APPLICATION