PERFORMING ARTS SUMMER REGISTRATION FORM 2023

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REGISTRATION FORM FOR STUDENTS 1 AND 2

– Step 1 of 3

PERFORMING ARTS SUMMER REGISTRATION 2023

1st Student's Name *

First

Last

1st Student's Gender *

Male
Female

1st Student's Birth Date *

1st Student's Medical Items (i.e. allergies)

Are you signing up for our Dance Camp ages 7 and older (girls or guys)? *

1st Student's T-Shirt Size *

Class Sign-up for 1st Student

1st Class Name, Price and Number *

Want to sign-up this student for a second class? *

2nd Class Sign-up

2nd Class Name, Price and Number *

Want to sign-up this student for a third class? *

3rd Class Sign-up

3rd Class Name, Price and Number *

Want to sign-up this student for a fourth class? *

4th Class Sign-up

4th Class Name, Price and Number *

Want to sign-up this student for a fifth class? *

5th Class Sign-up

5th Class Name, Price and Number *

Want to sign-up this student for a sixth class? *

6th Class Sign-up

6th Class Name, Price and Number *

Would you like to sign-up a second student? *

2nd Student

2nd Student's Name *

First

Last

2nd Student's Gender *

Male
Female

2nd Student's Birth Date *

2nd Student's Medical Items (i.e. allergies)

Are you signing up for our Dance Camp ages 7 and older (girls or guys)? *

2nd Student's T-Shirt Size *

Class Sign-up for 2nd Student

1st Class Name, Price and Number *

Want to sign-up this student for a second class? *

2nd Class Sign-up

2nd Class Name, Price and Number *

Want to sign-up this student for a third class? *

3rd Class Sign-up

3rd Class Name, Price and Number *

Want to sign-up this student for a fourth class? *

4th Class Sign-up

4th Class Name, Price and Number *

Want to sign-up this student for a fifth class? *

5th Class Sign-up

5th Class Name, Price and Number *

Want to sign-up this student for a sixth class? *

6th Class Sign-up

6th Class Name, Price and Number *

PARENT INFORMATION

Parent Name *

First

Last

Billing Address *

Address Line 1

City

State

Zip Code

Primary Phone *

Mom's Cell Phone

Dad's Cell Phone

Email Address *

Alternate Email Address

Do You Attend Mt. Zion Church? *

MT ZION PERFORMING ARTS WAIVER (REQUIRED)

I give Mt. Zion and its assigns the irrevocable right to use graphic images such as photographs, video, and digital pictures of the enrolled student taken in past, and future gatherings, rehearsals, performances, on and off the premises for advertisement and instructional purposes. Advertisements include, but are not limited to, print media, web, and social networks such as Facebook and Twitter. I hereby release and agree to hold harmless Mt. Zion and its assigns from any liability by virtue of any blurring, distortion, alteration, or use in composite form whether intentional or otherwise that may occur in the taking or processing of the photographs. I hereby assume responsibility, and release Mt. Zion, its employees, sponsoring organizations, etc. from all responsibility for my child if he/she leaves the building for any purpose I hereby assume all responsibility for myself and for my children while participating in activities sponsored by Mt. Zion. I acknowledge that participation in the activities offered by Mt. Zion Performing Arts involves risk to the participant (and to the participant’s parents or guardians, if the participant is a minor), and may result in various types of injury including, but not limited to, the following: sickness, exposure to infectious/communicable disease, bodily injury, death, emotional injury, personal injury, property damage, and financial damage. I waive all claims for liability against Mt. Zion, its employees/instructors, its assigns in case of injury. I release and promise to indemnify, defend, and hold Mt. Zion harmless for any injury arising directly or indirectly out of participation in Mt. Zion Performing Arts. I have read, understand, and agree to all the policies and procedures including payment terms as well as refunds/cancellations for registered classes as found on this website and/or in the published Registration Booklet at Mt. Zion Performing Arts. By submitting this form, I consent to receive eMail communications from Mt. Zion Performing Arts. I am of legal age, or the parent or legal guardian of the enrolled student(s). SIGN BELOW *

PAYMENT INFORMATION

Choose between the options below to submit payment and confirm your registration:

Total Cost for Registration

$ 0.00

Payment Method (Choose One) *

Sent via Zelle to tuition@mtzionPA.com (be sure to note Performing Arts in the memo)
I overpaid on a previous payment. Please use my credit balance.
Pay now using Visa or Mastercard.

Visa or MasterCard Payment *

Card Number

Expiration

Security Code

For Office Hours, Click Below

Office Hours

Do you have additional students to register? If you have more than two students, please submit and continue on to the "3rd and 4th Student" registration form.

REGISTRATION FORM FOR STUDENTS 3 AND 4

– Step 1 of 2

Did you already fill out the "Registration for students 1 & 2" form? *

INFORMATION FOR THE FIRST TWO STUDENTS

1st Student's Full Name *

First

Last

2nd Student's Full Name *

First

Last

PERFORMING ARTS SUMMER REGISTRATION 2023

3rd Student's Name *

First

Last

3rd Student's Gender *

Male
Female

3rd Student's Birth Date *

3rd Student's Medical Items (i.e. allergies)

Are you signing up for our Dance Camp ages 7 and older (girls or guys)? *

3rd Student's T-Shirt Size *

Class Sign-up for 3rd Student

1st Class Name, Price and Number *

Want to sign-up this student for a second class? *

2nd Class Sign-up

2nd Class Name, Price and Number *

Want to sign-up this student for a third class? *

3rd Class Sign-up

3rd Class Name, Price and Number *

Want to sign-up this student for a fourth class? *

4th Class Sign-up

4th Class Name, Price and Number *

Want to sign-up this student for a fifth class? *

5th Class Sign-up

5th Class Name, Price and Number *

Want to sign-up this student for a sixth class? *

6th Class Sign-up

6th Class Name, Price and Number *

Would you like to sign-up a fourth student? *

4th Student

4th Student's Name *

First

Last

4th Student's Gender *

Male
Female

4th Student's Birth Date *

4th Student's Medical Items (i.e. allergies)

Are you signing up for our Dance Camp ages 7 and older (girls or guys)? *

4th Student's T-Shirt Size *

Class Sign-up for 4th Student

1st Class Name, Price and Number *

Want to sign-up this student for a second class? *

2nd Class Sign-up

2nd Class Name, Price and Number *

Want to sign-up this student for a third class? *

3rd Class Sign-up

3rd Class Name, Price and Number *

Want to sign-up this student for a fourth class? *

4th Class Sign-up

4th Class Name, Price and Number *

Want to sign-up this student for a fifth class? *

5th Class Sign-up

5th Class Name, Price and Number *

Want to sign-up this student for a sixth class? *

6th Class Sign-up

6th Class Name, Price and Number *

PARENT INFORMATION

Parent Name *

First

Last

Address *

Address Line 1

City

State

Zip Code

Email Address *

MT ZION PERFORMING ARTS WAIVER (REQUIRED)

PAYMENT INFORMATION

Choose between the options below to submit payment and confirm your registration:

Total Cost for Registration

$ 0.00

Payment Method (Choose One) *

Sent via Zelle to tuition@mtzionPA.com (be sure to note Performing Arts in the memo)
I overpaid on a previous payment. Please use my credit balance.
Pay now using Visa or Mastercard.

Visa or MasterCard Payment *

Card Number

Expiration

Security Code

For Office Hours, Click Below

Office Hours

Do you have additional students to register? If you have more than four students, please submit and contact the Mt Zion Performing Arts Office.

MT ZION NEWS

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NAME *

First

Last

EMAIL *

Message

PERFORMING ARTS SUMMER REGISTRATION FORM 2023

PERFORMING ARTS SUMMER REGISTRATION 2023

Class Sign-up for 1st Student

2nd Class Sign-up

3rd Class Sign-up

4th Class Sign-up

5th Class Sign-up

6th Class Sign-up

2nd Student

Class Sign-up for 2nd Student

2nd Class Sign-up

3rd Class Sign-up

4th Class Sign-up

5th Class Sign-up

6th Class Sign-up

PARENT INFORMATION

MT ZION PERFORMING ARTS WAIVER (REQUIRED)

PAYMENT INFORMATION

Choose between the options below to submit payment and confirm your registration:

For Office Hours, Click Below

Do you have additional students to register? If you have more than two students, please submit and continue on to the "3rd and 4th Student" registration form.

INFORMATION FOR THE FIRST TWO STUDENTS

PERFORMING ARTS SUMMER REGISTRATION 2023

Class Sign-up for 3rd Student

2nd Class Sign-up

3rd Class Sign-up

4th Class Sign-up

5th Class Sign-up

6th Class Sign-up

4th Student

Class Sign-up for 4th Student

2nd Class Sign-up

3rd Class Sign-up

4th Class Sign-up

5th Class Sign-up

6th Class Sign-up

PARENT INFORMATION

MT ZION PERFORMING ARTS WAIVER (REQUIRED)

PAYMENT INFORMATION

Choose between the options below to submit payment and confirm your registration:

For Office Hours, Click Below

Do you have additional students to register? If you have more than four students, please submit and contact the Mt Zion Performing Arts Office.

MT ZION NEWS

MEDIA

INFO

MINISTRIES

CONNECT

ABOUT

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SCHEDULE

Drop-In and Membership Options Available.

Monday

Strength & Conditioning 5:30-6:30am

Bootcamp 8:30-9:30am

Strength & Conditioning 9:45-10:45am

Bootcamp 6:15-7:15pm

Restore Yoga 7:30-8:30pm

Tuesday

Bootcamp 8:30-9:30am

Strength & Conditioning 9:45-10:45am

Strength & Conditioning 5:30-6:30pm

Bootcamp 6:45-7:45pm

Wednesday

Strength & Conditioning 5:30-6:30am

Strength & Conditioning 8:30-9:30am

Bootcamp 9:45-10:45am

Thursday

Bootcamp 8:30-9:30am

Slow Flow 9:45-10:45am

Strength & Conditioning 6:15-7:15pm

Bootcamp 7:30-8:30pm

Friday

Bootcamp 8:30-9:30am

Strength & Conditioning 9:45-10:45am

Saturday

Bootcamp 8:30-9:30am

Slow Flow 9:45-10:45am

SCHEDULE

Drop-In and Membership Options Available

Monday

Strength & Conditioning
5:30-6:30am

Bootcamp

8:30-9:30am

Strength & Conditioning
9:45-10:45am

Bootcamp

6:15-7:15pm

Restore Yoga

7:30-8:30pm

Bootcamp

8:30-9:30am

Strength & Conditioning
9:45-10:45am

Strength & Conditioning
5:30-6:30pm

Bootcamp

6:45-7:45pm

Strength & Conditioning
5:30-6:30am

Strength & Conditioning
8:30-9:30am

Bootcamp

9:45-10:45am

Bootcamp

8:30-9:30am

Slow Flow

9:45-10:45am

Strength & Conditioning
6:15-7:15pm

Bootcamp

7:30-8:30pm

Bootcamp

8:30-9:30am

Strength & Conditioning
9:45-10:45am

Bootcamp

8:30-9:30am

Slow Flow

9:45-10:45am

5:30am
8:30am
9:45am
6:15pm
7:30pm

Strength & Conditioning
Bootcamp
Strength & Conditioning
Bootcamp
Restore Yoga

8:30am
9:45am
6:15pm
7:30pm