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PAGE: Registration
2800 W. 84 St  •  Hialeah, FL  •   305-828-0095
Build your talent.
REGISTRATION FORM
First Name of Student
Last Name of Student
First Name of Student(2)
First Name of Student(3)
Last Name of Student (2)
Last Name of Student (3)
Mailing Address
Zip Code
City
Home Telephone
Parent/Responsible Party            Relation
Student Cell (if student is 18+)
Email
Any previous dance/theatre/music training? If yes, Please explain.
Other:
How did you hear about EVOLUTION?
Please advise us of any medical conditions that may affect the student’s participation: 
Date of Birth
Date of Birth
Date of Birth
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To Pay Online, Click Here.
(2) Parent/Responsible Party       Relation
Cell / Contact Number
Cell / Contact Number
Agreement for Participation

I have enrolled myself and/or my child in a program of strenuous physical activity, offered by EVOLUTION Dance & Performing Arts.  I hereby affirm that I am or the above named person(s) are in good physical condition and do not suffer from any disability that would prevent or limit participation in this exercise, dance, or any other activities on the premises. I, for myself, my heirs and assigns, hereby release EVOLUTION Dance & Performing Arts, the owners/directors, Daisy Suita and Michelle Suita, their families, employees, or the owner of 2800 W 84th St. Bay 3&4 Hialeah, FL 33018 from any claims, demands and causes of action arising, claims, demands and causes of action from my or the above named person's participation in any of the above stated program. I hereby release EVOLUTION Dance & Performing Arts, the owners/directors, Daisy Suita and Michelle Suita, their families, employees, or the owner of 2800 W 84th St. Bay 3&4 Hialeah, FL 33018 from any liability now or in the future for any injuries participation in any other the above stated programs offered at EVOLUTION Dance & Performing Arts or at any time, while in the vicinity of the premises or in any activity sponsored, represented or organized by EVOLUTION Dance & Performing Arts. I also understand that photos and videos may be taken throughout the year and these images may be published or used for advertising and promotional purposes by EVOLUTION Dance & Performing Arts, and its agents. I understand I will not be able to protest any such use or receive compensation of any type for use of these pictures.



     I hereby affirm that I have read & fully understand & agree with the above waiver and have read & fully understand the studio policies.


              Todays Date:
 
Please list the classes, days, and times in which you are enrolling in.
If you are registering for a private lesson, please call the office to schedule.
Student Name:
Class(es) Separate with commas
Days/Times

Special Packages (Optional)
Student Name(2):
Class(es) Separate with commas
Days/Times
Student Name(3):
Class(es) Separate with commas
Days/Times
Name of School(s) / Grade (s)
Actual Start Date
If you are from Atlantic Montessori, Click Here.
Unlimited $200/month
5 Classes a Week $155/month
6 Classes a Week $175/month
3 Classes a Week $120/month