Central Brooklyn Casineros Registration Form

Central Brooklyn Casineros Registration Form

CLASSES START THURSDAY, FEBRUARY 8, 2024

To register your child for the Central Brooklyn Casineros, please fill out the form below. Once received, we may request further information from you. We will send instructions on how to make your tuition payment to the email listed on your registration form. Please note that your registration is not complete until you make your first quarterly tuition payment or make a full payment. Payments can be made via cash, check, Zelle, or credit card. Please note that a processing fee will be added to each credit card payment.

Questions or concerns? Contact us at hello@mypeopletellstories.com.

Student Participant

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Parent/Guardian (Primary Contact)

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Parent/Guardian (Secondary Contact)

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Emergency Contact

In addition to parent(s)/guardian(s), please list an additional emergency contact. Include the name, phone number, and email of your preferred emergency contact and state your child's relationship to this person (e.g. aunt, cousin, family friend, etc.).

Student Age, Gender, & Grade Level

Please list your child's current age, gender, and grade level.

School

Please list your child’s current school and address.

Medical Conditions

Please list any medical conditions or health challenges that may impact your child's participation in this program.

Special Accommodations

Please list any special accommodations that your child may need in order to participate in this program.

Registration & Tuition

Please indicate your registration type by checking the appropriate box. A 10% discount will be applied to tuition that is paid in full at the time of registration. If you would like to be considered for reduced or free tuition, please check the box marked “scholarship application.”

Early-Bird Registration - $850 (1st quarterly payment or full payment due by January 25, 2024).

Regular Registration - $1,000 (1st quarterly payment or full payment due by February 7, 2024).

Scholarship Application

Payment Method

Please indicate how you intend to make payment.

Cash

Check

Zelle

Credit card payment (A processing fee will be added to all credit card payments).

Previous Experience

Does your child have any previous dance experience? (No prior experience is required to participate in this program).

Please provide any additional information that you deem pertinent.

Central Brooklyn Casineros Registration Form

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