Registration form

REGISTRATION FORM

BEGINNER LEVEL

First name

Last name

Birthday

Jour

Mois

Année

Phone

Address

Occupation

Previous Guru/ Teacher/ Dance School & Location, if any

Years of training, if any

Which time zone do you prefer for attending the class?

EST

PST

Which batch would you like to join?

EST BATCH: Mon & Thu: 6.15 PM - 7.15 PM EST

PST BATCH: Mon & Thu: 6.15 PM - 7.15 PM PST

Quarterly:

$1260 (Paid in FULL) + $65 (One time registration fee)

Zelle Payment:

4086918286

kassiyet@gmail.com

Venmo: https://venmo.com/u/Kassiyet (9490)

Attach Zelle/Venmo Payment confirmation screenshot

Signature

Le mode de dessin a été sélectionné. Le dessin nécessite une souris ou un pavé tactile. Pour l'accessibilité du clavier, sélectionnez « Saisir » ou « Importer ».

I acknowledge that I have read and understood the Center's training policy: https://www.kassiyet.com/trainingpolicy

I acknowledge that I have read and understood the Training Center's tuition and refund policy: https://www.kassiyet.com/tuition-fees

BEGINNER LEVEL

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