Enroll

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Student's Name *

First

Last

Student's Date of Birth *

Years of Experience

Parent/Guardian Name *

First

Last

Parent/Guardian Email *

Parent/Guardian Parent/Guardian Experience

Parent/Guardian Phone *

Permission & Agreement *

• I agree and give my permission

I give the student stated here permission to perform for Padma Dance Academy pursuant to all the terms and regulations that apply.

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Padma Dance Academy offers enrollment plans for your student to participate in ONE or TWO sessions every week.

If you would like to sign up NOW for classes, AND BE AUTOMATICALLY CHARGED TODAY FOR THE LISTED AMOUNT, please select from the following options:

These links will take you to a payment system for AUTOMATED BILLING.

Your card will be charged once a month or once a quarter depending on the enrollment plan you've selected.