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 can include additional children's information in the "Student 2" and "Student 3" sections.

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!

REGISTRATION FORM

STUDENT INFORMATION

* Indicates required field

Students Full Name (First, Middle, Last): *

Student Address: *

Line 1

Line 2

City

State

Zip Code

Country

Student Date of Birth: *

Students Current Age: *

Medical Conditions or Allergies? *

Name of School Child is Attending (for the 2024-2025 school year): *

Students Current Grade (for the 2024-2025 school year) *

ABAKA Class that your student will attend: *

Has your student attended ABAKA in the past? *

If registering more students, please continue to fill out additional students information below.
Otherwise, you may skip to the "PARENTS INFORMATION" section

Student #2 Full Name (First, Middle, Last): *

Address (Leave Blank if Same As Student Above) *

Line 1

Line 2

City

State

Zip Code

Country

Student #2 Date of Birth: *

Student #2 Current Age: *

Medical Conditions or Allergies? *

Name of School Child is Attending (for the 2024-2025 school year): *

Student #2 Current Grade (for the 2024-2025 school year) *

ABAKA Class that student #2 will attend: *

Has your child attended ABAKA in the past? *

If registering more students, please continue to fill out additional students information below.
Otherwise, you may skip to the "PARENTS INFORMATION" section

Student #3 Full Name (First, Middle, Last): *

Address (Leave Blank if Same As Student Above) *

Line 1

Line 2

City

State

Zip Code

Country

Student #3 Date of Birth: *

Student #3 Current Age: *

Medical Conditions or Allergies? *

Name of School Child is Attending (for the 2024-2025 school year): *

Student #2 Current Grade (for the 2024-2025 school year): *

ABAKA Class that your student will attend: *

Has your child attended ABAKA in the past? *

PARENT INFORMATION

Parent 1 Full Name (First and Last) *

Parent 1 Address: *

Line 1

Line 2

City

State

Zip Code

Country

Parent 1 Phone Number: *

Parent 1 Email Address: *

Parent 2 Full Name: (Optional) *

Parent 2 Address: (Optional) *

Line 1

Line 2

City

State

Zip Code

Country

Parent 2 Phone Number: (Optional) *

Parent 2 Email Address: *

Emergency Contact Name, Relation, Phone Number: *

Second Emergency Contact Name, Relation, Phone Number: *

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.

I agree

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.

I agree I disagree

Signature (Full Name) : *

Date: *

SUBMIT REGISTRATION

2024-2025 REGISTRATION

REGISTRATION FORM

If registering more students, please continue to fill out additional students information below.​Otherwise, you may skip to the "PARENTS INFORMATION" section

If registering more students, please continue to fill out additional students information below.​Otherwise, you may skip to the "PARENTS INFORMATION" section

If registering more students, please continue to fill out additional students information below.
Otherwise, you may skip to the "PARENTS INFORMATION" section

If registering more students, please continue to fill out additional students information below.
Otherwise, you may skip to the "PARENTS INFORMATION" section