Trial Class | Mysite

Registration for a Trial Class

To register, please take the time to fill out the information below. You can only take a Trial class once per each class @ $17.00

First Name

Last Name

Phone

Your child's name

Date

Starting on January 21st

(Holiday closing dates: 2/25, 4/8, and 4/15)

I accept terms & conditions

LIABILITY RELEASE In consideration of the acceptance of this application, I the undersigned intending to be legally bound, hereby for myself, my heirs, executors and administrator’s, waive and release any and all rights and claims I may have against The Rod Rodgers Dance Company and Studios and its employees, successors and assigns for damages, injuries and/or claims which I might otherwise have arising out of said event. I attest and verify that my child is physically fit for the art form of dance. A licensed medical doctor has verified my child’s physical condition. If signed by parent, the parent agrees to release and hold the above named organization and persons harmless of any claims and/or rights, which may be asserted by or on behalf of the applicant. I agree to permit any photos/videos/Zoom recordings taken of my child to be used for advertising and promotional purposes.

ROD
RODGERS
DANCE COMPANY

Celebrating 55 Years

Registration for a Trial Class

To register, please take the time to fill out the information below. You can only take a Trial class once per each class @ $17.00

CONTACT

US

Call. 212.674.9066

Email. rodrodgers.dance@verizon.net

62 East 4th Street
New York, NY 10003

FOLLOW

US

STUDIO

HOURS

Registration for a Trial Class

To register, please take the time to fill out the information below. You can only take a Trial class once per each class @ $17.00

CONTACT

US

Call. 212.674.9066 ​ Email. rodrodgers.dance@verizon.net ​ 62 East 4th Street New York, NY 10003

FOLLOW

US

STUDIO

HOURS

Call. 212.674.9066

Email. rodrodgers.dance@verizon.net

62 East 4th Street
New York, NY 10003